Emergency endovascular repair of aortoiliac aneurysms in COVID-19 times.

Rafael De Athayde Soares,Marcus Vinícius Martins Cury,Roberto Saciloto,Luiz Maurício Da Silva Júnior,Patrícia Weiber Schettini Figueiredo,Danilo Augusto Pereira Nery Da Costa,Camila De Freitas Correa,Nayara De Arruda Cáceres

doi:10.1590/1677-5449.200173

Rafael De Athayde Soares, Marcus Vinícius Martins Cury + Show 6 more

Open Access

https://doi.org/10.1590/1677-5449.200173

Copy DOI

Abstract

In this paper, we describe a case series of four patients who were admitted with emergencies related to aortic aneurysms over a 3-day period and were treated with endovascular repair. The first patient was an 81-year-old female with a history of abdominal pain and a ruptured aortic aneurysm diagnosed by AngioCT-scan. The second patient was a 63-year-old male with a history of oral digestive bleeding and an AngioCT-scan showing an aortoenteric fistula. The third patient was a 77-year-old female with sudden-onset abdominal pain and ruptured right common iliac aneurysm. The fourth patient presented with abdominal pain and an AngioCT-scan showed aortic rupture. All four patients were discharged with no major complications or surgical mortality. These case series show that despite the Covid-19 pandemic situation, since elective surgeries decreased, vascular emergencies have increased.

Highlights

Since the outbreak of the SARS-Cov-2 infection pandemic, a considerable impact on elective surgeries has been observed, with a fall in the number of elective repairs performed
Given the uncertainties related to COVID‐19, the surgical community acknowledges the need for resource preservation, but undue postponement of surgery to treat progressive diseases would result in another public health crisis.[2]
One of the first reports regarding the Covid-19 outbreak and vascular surgeries was published by Ng et al.,[3] in whose vascular surgery department the number of aorta-related cases have decreased, since they have tended to postpone patients with abdominal aortic aneurysms who were asymptomatic

Summary

Introduction

Since the outbreak of the SARS-Cov-2 infection pandemic, a considerable impact on elective surgeries has been observed, with a fall in the number of elective repairs performed. This is because most patients preferred to postpone elective surgery and because surgical societies all round the world have recommended postponement of elective surgery.[1] Given the uncertainties related to COVID‐19, the surgical community acknowledges the need for resource preservation, but undue postponement of surgery to treat progressive diseases would result in another public health crisis.[2].

Objectives

Findings

Discussion

Conclusion