Congenital cardiac interventions during the peak phase of COVID-19 pandemics in the country in a pandemics hospital in Istanbul

• Published in: Cardiology in the Young Vol. 30; no. 9; pp. 1288 - 1296
• Main Authors: Ugurlucan, Murat, Yildiz, Yahya, Oztas, Didem Melis, Coban, Senay, Beyaz, Metin Onur, Sari, Gizem, Ulukan, Mustafa Ozer, Karakaya, Atalay, Vatansever, Binay, Erkanli, Korhan, Meric, Mert, Unal, Orcun, Demirkol, Demet, Yozgat, Yilmaz, Saritas, Turkay, Erdem, Abdullah, Akdeniz, Celal, Turkoglu, Halil
• Format: Journal Article
• Language: English
• Published: England Cambridge University Press 01.09.2020
• Subjects: Adolescent; Algorithms; Cardiovascular Surgical Procedures - adverse effects; Cardiovascular Surgical Procedures - methods; Cardiovascular Surgical Procedures - statistics & numerical data; Child, Preschool; Congenital diseases; Coronavirus Infections - epidemiology; Coronavirus Infections - prevention & control; Coronaviruses; COVID-19; Defects; Disease transmission; Disorders; Female; Heart Defects, Congenital - diagnosis; Heart Defects, Congenital - epidemiology; Heart Defects, Congenital - surgery; Heart surgery; Hospitals; Humans; Infant, Newborn; Infection Control - organization & administration; Intensive care; Male; Original; Outcome and Process Assessment, Health Care; Oxygen saturation; Pandemics; Pandemics - prevention & control; Patient Selection; Patients; Pediatrics; Pneumonia, Viral - epidemiology; Pneumonia, Viral - prevention & control; Postoperative Complications - epidemiology; Postoperative Complications - etiology; Severe acute respiratory syndrome coronavirus 2; Turkey - epidemiology; Ventilators; Viral diseases; Turkey; SARS-CoV-19; congenital cardiac percutaneous interventions; pandemics; congenital cardiac surgery
• ISSN: 1047-9511; 1467-1107
• DOI: 10.1017/S1047951120002000

In this report, we aim to present our algorithm and results of patients with congenital cardiac disorders who underwent surgical or interventional procedures during the peak phase of the pandemics in our country. The first COVID-19 case was diagnosed in Turkey on 11 March, 2020, and the peak phase seemed to end by the end of April. All the patients whom were referred, treated, or previously operated but still at the hospital during the peak phase of COVID-19 pandemics in the country were included into this retrospective study. Patient's diagnosis, interventions, adverse events, and early post-procedural courses were studied. Thirty-one patients with various diagnoses of congenital cardiovascular disorders were retrospectively reviewed. Ages of the patients ranged between 2 days and 16 years. Seventeen cases were males and 14 cases were females. Elective cases were postponed. Priority was given to interventional procedures, and five cases were treated percutaneously. Palliative procedures were preferred in patients whom presumably would require long hospital stay. Corrective procedures were not hesitated in prioritised stable patients. Mortality occurred in one patient. Eight patients out of 151 ICU admissions were diagnosed with COVID-19, and they were transferred to COVID-19 ICU immediately. Three nurses whom also took care of the paediatric cases became infected with SARS-CoV-2; however, the children did not catch the disease. Mandatory and emergent congenital cardiac percutaneous and surgical procedures may be performed with similar postoperative risks as there are no pandemics with meticulous care and preventive measures.