Article in Press                   Back to the articles list | Back to browse issues page

XML Print


Department of Anesthesiology, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran
Abstract:   (35 Views)
Coronary artery bypass graft (CABG) surgery with the help of cardiopulmonary bypass (CPB) can cause complications for the lungs after the operation. A 62-year-old woman was reported to have a positive COVID-19 test; however, due to her cardiac conditions, she was scheduled for an emergency CABG surgery. The patient was experiencing symptoms of chest pain and dyspnea, and her pulmonary artery systolic pressure was 45 mmHg. Considering that the patient would be undergoing surgery with CPB, a ventilation strategy was planned to reduce the risk of pulmonary complications during the procedure. The patient recovered well without any specific pulmonary complications after the surgery. It seems that patients with positive COVID-19 are at risk of pulmonary complications. Therefore, a ventilation strategy during the procedure can significantly reduce the risk of pulmonary complications and their consequences after the surgery.

Full-Text [PDF 345 kb]   (20 Downloads) |   |   Full-Text (HTML)  (10 Views)  
Type of Study: Case Report | Subject: General Surgery
Received: 2025/06/24 | Accepted: 2025/07/26 | ePublished ahead of print: 2025/08/16

References
1. Romiti S, Totaro M, Laderchi A, Peruzzi M, Vinciguerra M, Greco E. Case report: Emergency CABG following failure of PTCA in a COVID-19 patient. Front Cardiovasc Med. 2021;7: 620610. [DOI:10.3389/fcvm.2020.620610]
2. Ryz S, Menger J, Veraar C, Datler P, Mouhieddine M, Zingher F, et al. Identifying high-risk patients for severe pulmonary complications after Cardiosurgical Procedures as a Target Group for further Assessment of lung-protective strategies J Cardiothorac Vasc Anesth. 2024;38(2):445-50. [DOI:10.1053/j.jvca.2023.11.030]
3. Rogers CA, Mazza G, Maishman R, Thirard R, Evans J, De Jesus S, et al. Low Frequency Ventilation During Cardiopulmonary Bypass to Protect Postoperative Lung Function in Cardiac Valvular Surgery: The PROTECTION Phase II Randomized Trial. J Am Heart Assoc. 2024;13(19):e035011. [DOI:10.1161/JAHA.124.035011]
4. Malbouisson LM, Humberto F, Rodrigues RD, Carmona MJ, Auler Jr JO. Atelectasias durante anestesia: fisiopatologia e tratamento. Rev Bras Anestesiol. 2008;58(1):73-83. [DOI:10.1590/S0034-70942008000100011]
5. Zhang MQ, Liao YQ, Yu H, Li XF, Shi W, Jing WW, et al. Effect of ventilation strategy during cardiopulmonary bypass on postoperative pulmonary complications after cardiac surgery: a randomized clinical trial. J Cardiothorac Surg. 2021;16(1):1-8. [DOI:10.1186/s13019-021-01699-1]
6. Ayati A, Hosseini K, Hadizadeh A, Jalali A, Lotfi‐Tokaldany M, Milan N, et al. Surgical coronary revascularization in patients with COVID‐19; complications and outcomes: A retrospective cohort study. Health Sci Rep. 2022;5(5):e751. [DOI:10.1002/hsr2.751]
7. Gomes WJ, Rocco I, Pimentel WS, Pinheiro AH, Souza PM, Costa LA, et al. COVID-19 in the perioperative period of cardiovascular surgery: the Brazilian experience. Braz J Cardiovasc Surg. 2021;36(6):725-35. [DOI:10.21470/1678-9741-2021-0960]
8. Barkhordari K, Khajavi MR, Bagheri J, Nikkhah S, Shirzad M, Barkhordari S, et al. Early respiratory outcomes following cardiac surgery in patients with COVID‐19. J Card Surg 2020;35(10):2479-85. [DOI:10.1111/jocs.14915]
9. Magdy M, Elnegeery NA, El Rahamawy GA, Elgamal MA, Hayes SM. Evaluation of the effect of ventilation strategies during cardiopulmonary bypass on postoperative pulmonary complication in pediatric cardiac surgery: A randomized prospective study. Int J Health Sci. 2022;6(9),782-93. [DOI:10.53730/ijhs.v6nS9.12506]
10. Mingote Á, Albajar A, García Benedito P, Garcia-Suarez J, Pelosi P, Ball L, et al. Prevalence and clinical consequences of atelectasis in SARS-CoV-2 pneumonia: a computed tomography retrospective cohort study. BMC Pulm Med. 2021;21(1):267. [DOI:10.1186/s12890-021-01638-9]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Journal of Surgery and Trauma

Designed & Developed by : Yektaweb