A Case of Hemiarch Replacement for Ascending Aortic Aneurysm Following COVID-19 Pneumonia

Tatsuto Wakami＊	Kazufumi Yoshida＊	Masanosuke Ishigami＊
Keita Ohashi＊＊	Tadaaki Koyama＊

（Department of Cardiovascular Surgery＊ and Department of Rehabilitation＊＊, Kobe City Medical Center General Hospital, Kobe, Japan）

A 76-year-old man presented with fever and cough. The salivary PCR test was revealed COVID-19-positive. He was referred to our hospital with oxygen desaturation during following up at home. The plain CT scan showed peripheral infiltrates distributed along the subpleural area and ascending aortic aneurysm. The treatment of COVID-19 was prioritized due to his worsening respiratory condition. He was discharged after 3 weeks. He was readmitted with organized pneumonia and treated with corticosteroids. Though dyspnea on exertion was still present after discharge, the spirometry was within normal limits except for low DLCO. Eight weeks after COVID-19 healing, we performed ascending aortic replacement for an ascending aortic aneurysm. His postoperative course was uneventful. The optimal timing of elective cardiovascular surgery in a patient after COVID-19 is unclear. We report a case of cardiovascular surgery 8 weeks after COVID-19 with no respiratory complications.

 

Jpn. J. Cardiovasc. Surg. 50:410-414（2021）

Keywords：COVID-19;organized pneumonia;cardiac surgery