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. 2022 Oct 8;37(5):754-764.
doi: 10.21470/1678-9741-2022-0198.

Joint Recommendations From The Latin American Association of Cardiac and Endovascular Surgery (LACES) and The Cardiovascular Anesthesia Committee of The Latin American Confederation of Anesthesia Societies (CLASA) on the Timing for Cardiac Surgery After COVID-19 Infection

Victor Dayan  1 , Pablo Straneo  1 , Mario Jose Arguello  2 , Mayra Vaca  3 , Luis Eduardo Enriquez  4 , Gunther Krogh  5 , Carlos Alberto Carcausto Humani  6 , Milton Patricio Chango Iza  7 , Ezequiel Leonel Fernandez  8 , Rosina Ruiz Roque  9 , Xavier Mantilla Pinto  10 , Rosemberg Albores Figueroa  11 , Oscar Felipe Heilbron  12 , Marcos Schioppi  13 , Bruno Bismark Camacho Alvarez  14 , Mateo Marin-Cuartas  15 , Walter J Gomes  16 , Juan Riva  17
Affiliations

Joint Recommendations From The Latin American Association of Cardiac and Endovascular Surgery (LACES) and The Cardiovascular Anesthesia Committee of The Latin American Confederation of Anesthesia Societies (CLASA) on the Timing for Cardiac Surgery After COVID-19 Infection

Victor Dayan et al. Braz J Cardiovasc Surg. .

Abstract

Introduction: Since the coronavirus disease 2019 (COVID-19) pandemic, cardiac surgeries in patients with previous infection by COVID-19 were suspended or postponed, which led to surgeries performed in patients with an advanced stage of their disease and an increase in the waiting list. There is a heterogeneous attitude in Latin America on the optimal timing to cardiac surgery in patients with previous COVID-19 infection due to scarce data on its outcome. Two Latin American associations joined to establish common suggestions on the optimal timing of surgery in patients with previous COVID-19 infection.

Methods: Data collection was performed using a pre-established form, which included year of publication, objective, type of study (prospective/retrospective, descriptive/analytical), number of patients, year of study, waiting time between infection and surgery, type of surgery, morbidity, mortality, and conclusions regarding the association between mortality and morbidity. Final recommendations were approved by the board of directors of Latin American Association of Cardiac and Endovascular Surgery (LACES) and Latin American Confederation of Anesthesia Societies (CLASA).

Results: Of the initial 1,016 articles, 11 comprised the final selection. Only six of them included patients who underwent cardiac surgery. According to the analyzed literature, optimal timing for cardiac surgery needs to consider the following aspects: deferable surgery, symptomatic COVID-19 infection, completeness of COVID-19 vaccination.

Conclusion: These recommendations derive from the analysis of the scarce literature published at present on outcomes after cardiac surgery in patients with previous COVID-19 infection. These are to be taken as a dynamic recommendation in which Latin American reality was taken into consideration.

Keywords: Health Services Needs and Demand, COVID-19, Data Collection; Latin America; List; Severe Acute Respiratory Syndrome Coronavirus 2; Thoracic Surgery; Time; Vaccination; Waiting.

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Conflict of interest statement

No conflict of interest.

Figures

Fig. 1
Fig. 1
Preferred Reporting Items for Systematic Reviews and Meta-Analyses flowchart
Fig. 2
Fig. 2
Recommendation algorithm for timing of cardiac surgery in patients with previous coronavirus disease 2019 (COVID-19) infection.
See this image and copyright information in PMC

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