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冠状动脉旁路移植术并发术后冠状病毒感染——两种相似表现却不同结局的病例

Coronary Artery Bypass Grafting complicated by post-operative coronavirus infection - two similar presentations with dissimilar outcomes.

作者信息

Redding Alexis, Samanapally Harideep, Udoh Mike O, Huang Jiapeng, Slaughter Mark S, Pahwa Siddharth

机构信息

University of Louisville School of Medicine, Louisville, KY, USA.

Division of Infectious Diseases, University of Louisville, Louisville, KY, USA.

出版信息

Arch Clin Cases. 2023 Feb 20;10(1):7-10. doi: 10.22551/2023.38.1001.10230. eCollection 2023.

Abstract

Patients diagnosed with COVID-19 infection undergoing surgical procedures have been reported to have increased post-operative complications and mortality. These findings are important when considering cardiac surgical procedures, specifically coronary artery bypass grafting (CABG) during this pandemic, since the Society of Thoracic Surgeons (STS) describes most of these operations as 'urgent'. In addition, the majority of cardiac surgical patients are at increased risk of infection and death with COVID-19, as they are frequently of old age, obese, hypertensive, and diabetic, with severe cardiac or pulmonary diseases. This case series describes the clinical course following a CABG procedure in two patients that went on to develop COVID-19 infection post-operatively. We aim to illustrate the similarities in clinical presentation, but differences in eventual outcomes for both patients and hypothesize the reasons for the differences.

摘要

据报道,接受外科手术的新冠肺炎感染患者术后并发症和死亡率有所增加。在考虑心脏外科手术时,尤其是在此次大流行期间进行冠状动脉旁路移植术(CABG)时,这些发现很重要,因为胸外科医师协会(STS)将大多数此类手术描述为“紧急”。此外,大多数心脏外科手术患者感染新冠病毒并死亡的风险增加,因为他们通常年龄较大、肥胖、患有高血压和糖尿病,且伴有严重的心脏或肺部疾病。本病例系列描述了两名患者在接受冠状动脉旁路移植术后感染新冠病毒的临床过程。我们旨在说明两者临床表现的相似之处,但最终结局的差异,并推测造成这些差异的原因。

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本文引用的文献

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Review of COVID-19 Outcomes in Surgical Patients.外科患者中新型冠状病毒肺炎结局的综述。
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