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10.1111/jocs.15041 http://scihub22266oqcxt.onion/10.1111/jocs.15041 32939857!ä!32939857 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       J+Card+Surg 2021 ; 36 (5): 1659-1664 Nephropedia Template TP {{tp|p=32939857|t=2021. Management of acute type A aortic dissection during COVID-19 outbreak: Experience from Anzhen |pdf=|usr=}}{{32939857}} gab.com Text Management of acute type A aortic dissection during COVID-19 outbreak: Experience from Anzhen JO: J Card Surg http://www.kidney.de/pget.php?&tw=1&pmid=32939857 #FOAvip OBJECTIVES: We seek to report our management protocol and early outcomes of acute type A aortic dissection (ATAAD) repair during the early phase of coronavirus disease 2019 (COVID-19). METHODS: From January 23 to April 30, 2020, we performed ATAAD repair for 33 patients, including three with pregnancy-related TAADs. Confirmation of COVID-19 depended on the results of two nucleic acid tests and pulmonary computed tomography scan. Based on testing results and hemodynamic stability, patients were triaged to an isolated intensive care unit or negative pressure operating room for emergency surgery. RESULTS: Mean age 50.2 +/- 13.3 years and 20 were male (60.1%) and 8 patients were febrile (>37.3 degrees C; 24.2%) and 17 were lymphopenic (51.5%). No patient was excluded from COVID-19 infection preoperatively. Extensive aortic repair with total arch replacement (TAR) was performed in 24 (72.7%), and limited proximal repair in 9 patients (27.3%). Cardiopulmonary bypass and cross-clamp times averaged 177 +/- 34 and 88 +/- 20 min for TAR, and 150 +/- 30 and 83 +/- 18 min for hemiarch, respectively. The mean operation time was 410 +/- 68.3 min. Operative mortality was 6.1% (2/33). Complications included reintubation in four (12.1%), acute kidney failure in two (6.1%), and cerebral infarction in one (3.0%). No paraplegia nor re-exploration for bleeding occurred. COVID-19 was excluded in 100% eventually. No nosocomial infection occurred. Nor did any patient/surgical staff develop fever or test positive during the study period. CONCLUSIONS: The results of this study show that our management protocol based on testing results and hemodynamic stability in patients with ATAAD during the COVID-19 pandemic was effective and achieved favorable early surgical outcomes. Twit Text FOAVip Management of acute type A aortic dissection during COVID-19 outbreak: Experience from Anzhen ????J Card Surg http://www.kidney.de/pget.php?&tw=1&pmid=32939857 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32939857 #FOAvip English Wikipedia <ref>{{Cite pmid|32939857}}</ref> Management of acute type A aortic dissection during COVID-19 outbreak: Experience from Anzhen #MMPMID32939857 Zhang CH; Ma WG; Zhong YL; Ge YP; Li CN; Qiao ZY; Liu YM; Zhu JM; Sun LZ J Card Surg 2021[May]; 36 (5): 1659-1664 PMID32939857show ga OBJECTIVES: We seek to report our management protocol and early outcomes of acute type A aortic dissection (ATAAD) repair during the early phase of coronavirus disease 2019 (COVID-19). METHODS: From January 23 to April 30, 2020, we performed ATAAD repair for 33 patients, including three with pregnancy-related TAADs. Confirmation of COVID-19 depended on the results of two nucleic acid tests and pulmonary computed tomography scan. Based on testing results and hemodynamic stability, patients were triaged to an isolated intensive care unit or negative pressure operating room for emergency surgery. RESULTS: Mean age 50.2 +/- 13.3 years and 20 were male (60.1%) and 8 patients were febrile (>37.3 degrees C; 24.2%) and 17 were lymphopenic (51.5%). No patient was excluded from COVID-19 infection preoperatively. Extensive aortic repair with total arch replacement (TAR) was performed in 24 (72.7%), and limited proximal repair in 9 patients (27.3%). Cardiopulmonary bypass and cross-clamp times averaged 177 +/- 34 and 88 +/- 20 min for TAR, and 150 +/- 30 and 83 +/- 18 min for hemiarch, respectively. The mean operation time was 410 +/- 68.3 min. Operative mortality was 6.1% (2/33). Complications included reintubation in four (12.1%), acute kidney failure in two (6.1%), and cerebral infarction in one (3.0%). No paraplegia nor re-exploration for bleeding occurred. COVID-19 was excluded in 100% eventually. No nosocomial infection occurred. Nor did any patient/surgical staff develop fever or test positive during the study period. CONCLUSIONS: The results of this study show that our management protocol based on testing results and hemodynamic stability in patients with ATAAD during the COVID-19 pandemic was effective and achieved favorable early surgical outcomes. |*Aortic Aneurysm, Thoracic/diagnosis/epidemiology/surgery[MESH] |*Aortic Dissection/epidemiology/surgery[MESH] |*Blood Vessel Prosthesis Implantation[MESH] |*COVID-19[MESH] |Acute Disease[MESH] |Adult[MESH] |Female[MESH] |Humans[MESH] |Male[MESH] |Middle Aged[MESH] |Pandemics[MESH] |Retrospective Studies[MESH] |SARS-CoV-2[MESH] |Time Factors[MESH]Management of acute type A aortic dissection during COVID-19 outbreak:(epmc).pdf DeepDyve Pubget Overpricing