Successful Surgery in Acute Type A Dissection in a Patient With COVID-19

Document Type : Case Report

Authors

1 Department of Cardiology,School of medicine,Shahid Beheshti University of medical sciences,Tehran, IR Iran.

2 Clinical Research Development Center,Shahid Modarres Educational hospital,Shahid Beheshti University of Medical Sciences,Tehran, IR Iran.

3 Echocardiography Research Center, Rajaie Cardiovascular Medical and research Center, Iran university of Medical Science, Tehran, IR Iran.

Abstract

Coronaviruses are a large family of RNA viruses, the most pathogenic of which are SARS-CoV, MERS-CoV, and the newest type, SARS-CoV-2. 1 Since the start of the recent spread of the coronavirus in the world, the number of patients with cardiovascular diseases referring to emergency departments has decreased due to various reasons. However, many of the patients who do refer to emergency departments may have the complications of coronavirus disease 2019 (COVID-19). We herein describe a patient who was admitted with an acute coronary syndrome after having developed the symptoms of coronavirus and was eventually diagnosed with acute Type A dissection. (Iranian Heart Journal 2020; 21(4): 135-139)

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  1. Weiss, S.R. and S. Navas-Martin, Coronavirus pathogenesis and the emerging pathogen severe acute respiratory syndrome coronavirus. Microbiol Mol Biol Rev, 2005. 69(4): p. 635-64.
  2. Metzler, B., et al., Decline of acute coronary syndrome admissions in Austria since the outbreak of COVID-19: the pandemic response causes cardiac collateral damage. Eur Heart J, 2020. 16(5820829).
  3. Garg, S., et al., Hospitalization Rates and Characteristics of Patients Hospitalized with Laboratory-Confirmed Coronavirus Disease 2019 - COVID-NET, 14 States, March 1-30, 2020: MMWR Morb Mortal Wkly Rep. 2020 Apr 17;69(15):458-464. doi: 10.15585/mmwr.mm6915e3.
  4. Li, B., et al., Prevalence and impact of cardiovascular metabolic diseases on COVID-19 in China. Clin Res Cardiol, 2020. 109(5): p. 531-538.
  5. Xiong, T.Y., et al., Coronaviruses and the cardiovascular system: acute and long-term implications. Eur Heart J, 2020. 18(5809453).
  6. Clouse, W.D., et al., Acute aortic dissection: population-based incidence compared with degenerative aortic aneurysm rupture. Mayo Clin Proc, 2004. 79(2): p. 176-80.
  7. Olsson, C., et al., Thoracic aortic aneurysm and dissection: increasing prevalence and improved outcomes reported in a nationwide population-based study of more than 14,000 cases from 1987 to 2002. Circulation, 2006. 114(24): p. 2611-8.
  8. Fukuhara, S., C.M. Rosati, and S. El-Dalati, Acute Type A Aortic Dissection during COVID-19 Outbreak: Ann Thorac Surg. 2020 Apr 22. pii: S0003-4975(20)30594-4. doi: 10.1016/j.athoracsur.2020.04.008.
  9. DeMartino, R.R., et al., Population-Based Assessment of the Incidence of Aortic Dissection, Intramural Hematoma, and Penetrating Ulcer, and Its Associated Mortality From 1995 to 2015. Circ Cardiovasc Qual Outcomes, 2018. 11(8): p. 004689.
  10. Fong, Z.V., et al., Practical Implications of Novel Coronavirus COVID-19 on Hospital Operations, Board Certification, and Medical Education in Surgery in the USA. J Gastrointest Surg, 2020. 20(10): p. 020-04596.
  11. Howard, D.P., et al., Incidence, risk factors, outcome and projected future burden of acute aortic dissection. Ann Cardiothorac Surg, 2014. 3(3): p. 278-84.