The immediate results of coronary bypass surgery "on a working heart" in patients with coronary artery disease in the incubation period of a new coronavirus infection (COVID-19)
Abstract
The aim of the research: to analyze the results of coronary bypass surgery without IC on a "working heart" in patients with coronary artery disease performed during the incubation period of COVID-19.
Materials and methods: From January to December 2020, 305 patients with coronary artery disease were operated in the cardiac surgery Department No. 1 of the GBUZ IOCB. All patients were operated with access from a median sternotomy on a "working heart" within 1-5 days after hospitalization. 72 hours before hospitalization, all patients were tested for SARS-CoV-2 coronavirus RNA and had a negative result. Of the 305 operated patients, 8 (2.6%) underwent COVID-19 during hospitalization, confirmed by PCR for SARSCoV-2. In the biochemical analysis of blood, elevated levels of C-reactive protein and ferritin were noted. According to CT data, all patients had lung lesions.
Results: Depending on the condition, patients were transferred to the PITiR or general wards for the treatment of COVID-19 patients. Conservative treatment was carried out in accordance with the recommendations of the Ministry of Health of Russia. The time of stay of patients in the hospital was 37.6 (28-45) days. After treatment, 5 patients were discharged in satisfactory condition, 3 died. Hospital mortality was 37.5%.
Conclusion: Thus, a small number of observations of CHD patients operated on during the incubation period of COVID-19 with the exception of IC on a "working heart" allows us to draw a preliminary conclusion that postoperative mortality depends on the severity of lung damage caused by a new coronavirus infection (COVID-19) with the clinic of acute respiratory syndrome (SARS-CoV-2).
About the Authors
V. A. Podkamenniy
Irkutsk State Medical Academy of Postgraduate Education - Branch Campus of the Russian Medical Academy of Continuing Professional Education; Irkutsk Regional Clinical Hospital
Russian Federation
Russian Federation
Vladimir A. Podkamenny – cardiovascular surgeon Cardiosurgical dep. №1, MD, professor
664079, Irkutsk, mkr. Yubileyniy 100
phone 0073952407851
A. A. Sharavin
Irkutsk Regional Clinical Hospital
Russian Federation
Russian Federation
Anatoly A. Sharavin - cardiovascular surgeon Cardiosurgical dep. №1
664079, Irkutsk, mkr. Yubileyniy 100
phone 0073952407851
Y. V. Zheltovsky
Irkutsk State Medical Academy of Postgraduate Education - Branch Campus of the Russian Medical Academy of Continuing Professional Education; Irkutsk Regional Clinical Hospital
Russian Federation
Russian Federation
Yury V. Zheltovsky - cardiovascular surgeon Cardiosurgical dep. №1, MD, professor
664079, Irkutsk, mkr. Yubileyniy 100,
phone 0073952407851
B. S. Denisyuk
Irkutsk State Medical Academy of Postgraduate Education - Branch Campus of the Russian Medical Academy of Continuing Professional Education
Russian Federation
Russian Federation
Bogdan S. Denisyuk - resident of the Department of Cardiovascular Surgery
664049, Irkutsk, Yubileyniy 100
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Review
For citations:
Podkamenniy V.A., Sharavin A.A., Zheltovsky Y.V., Denisyuk B.S. The immediate results of coronary bypass surgery "on a working heart" in patients with coronary artery disease in the incubation period of a new coronavirus infection (COVID-19). Minimally Invasive Cardiovascular Surgery. 2024;3(3):60-65. (In Russ.)
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