Joshi Dharmendra, Sharma Apurb, K Shrestha Sanjeet, Sharma Ranjit, Kumar Deo Bhatta Yadav, G Rajbanshi Bijoy
Department of Cardio-Thoracic and Vascular Surgery, Nepal Mediciti, Lalitpur, Nepal.
Department of Anaesthesiology, Nepal Mediciti, Lalitpur, Nepal.
J Nepal Health Res Counc. 2022 Nov 3;20(2):555-557. doi: 10.33314/jnhrc.v20i02.3789.
The COVID-19 pandemic has raised challenges and dilemmas to perform cardiac surgery in the patients following COVID-19 infection due to lasting adverse impacts of the disease on the lungs. A 74-years-old patient, recently infected by COVID-19, with previous myocardial infarction and multiple percutaneous coronary interventions, in-stent thrombosis to the left anterior descending artery, and low resting saturation, presented with chest pain and underwent urgent coronary artery bypass grafting. His postoperative period remained challenging due to high oxygen requirements. He had otherwise an uneventful recovery and was discharged on domiciliary oxygen, which was weaned off over three months and he continues to do well at six months of follow-up. Keywords: Cardiac surgery; COVID-19; coronary artery bypass surgery; pandemic.
由于新冠病毒感染对肺部的持续不利影响，新冠疫情给新冠病毒感染后的患者进行心脏手术带来了挑战和困境。一名74岁的患者，近期感染了新冠病毒，既往有心肌梗死病史且接受过多次经皮冠状动脉介入治疗，左前降支出现支架内血栓形成，静息饱和度低，因胸痛接受了紧急冠状动脉旁路移植术。由于对氧气的高需求，他的术后恢复过程仍然充满挑战。除此之外，他恢复顺利，出院时使用家庭制氧，三个月后停用，随访六个月时情况良好。关键词：心脏手术；新冠病毒；冠状动脉旁路移植术；大流行
