Strategies for emergency cardiovascular surgery under the epidemic of COVID-19

Chinese Journal of Thoracic and Cardiovaescular Surgery Pub Date : 2020-03-25 DOI:10.3760/CMA.J.CN112434-20200222-00065

Xingjian Hu, N. Dong, Jiawei Shi, J. Xia

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Abstract

Severe acute respiratory infection caused by a novel coronavirus(SARS-CoV-2), WHO named COVID-19, is the major clinical concern globally. Both the world health organization and the National Health Commission have issued interim guidelines and management strategy for the diagnosis and treatment of COVID-19. These comprehensive guidelines establish the basic norms for the clinical practice. However, cardiovascular diseases have their special pathophysiological characteristics. The surgical treatment strategies for emergency and critical cardiovascular diseases requires specific recommendations or guidelines. From 16 January to 12 February 2020, the department of cardiovascular surgery in Wuhan Union Hospital had performed 15 emergency cardiovascular operations. The perioperative success rate is 100%. Based on our clinical practice, we summarized the relevant experience as a complement to the WHO and National Health Commission guidelines, hope to provide references for the cardiovascular surgeons. Key words: COVID-19; Cardiovascular surgery; Emergency operation; Therapeutic strategy

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新冠肺炎疫情下心血管外科急诊救治策略

由世卫组织命名为COVID-19的新型冠状病毒(SARS-CoV-2)引起的严重急性呼吸道感染是全球主要的临床问题。世界卫生组织和国家卫生健康委员会发布了新冠肺炎诊疗暂行指南和管理战略。这些综合指南为临床实践建立了基本规范。然而，心血管疾病有其特殊的病理生理特点。急诊和危重心血管疾病的外科治疗策略需要具体的建议或指南。2020年1月16日至2月12日，武汉协和医院心血管外科共实施急诊心血管手术15例。围手术期成功率100%。结合临床实践，总结相关经验，作为对世界卫生组织和国家卫生健康委员会指南的补充，希望能为心血管外科医生提供参考。关键词:COVID-19;心血管外科;紧急操作;治疗策略

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Chinese Journal of Thoracic and Cardiovaescular Surgery

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