COVID-19 感染并发急性 A 型主动脉夹层。

Department of Cardiothoracic Surgery, Ghent University Hospital, Ghent, Belgium.

Department of Pneumology, Ghent University Hospital, Ghent, Belgium.

Ann Thorac Surg. 2020 Nov;110(5):e421-e423. doi: 10.1016/j.athoracsur.2020.05.001. Epub 2020 May 11.

A patient underwent surgery for acute type A aortic dissection. Testing for SARS-CoV-2 was positive. The postoperative course was complicated by a mixed viral and bacterial pneumonia with bilateral infiltration, treated with antibiotics and hydroxychloroquine, without any need for reintubation. The patient recovered and finally could be discharged. This report shows the feasibility for surgical treatment of acute aortic disease in patients with COVID-19.

一位患者因急性 A 型主动脉夹层接受了手术。SARS-CoV-2 检测呈阳性。术后患者并发混合性病毒和细菌性肺炎，出现双侧浸润，使用抗生素和羟氯喹治疗，无需再次插管。患者康复，最终出院。本报告表明 COVID-19 患者接受急性主动脉疾病手术治疗是可行的。