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Coronary Artery Bypass Grafting Complicated by Post-operative Coronavirus Infection -- Two Similar Presentations with Dissimilar Outcomes
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  • Siddharth Pahwa,
  • Harideep Samanapally,
  • Mike O. Udoh,
  • Jiapeng Huang,
  • Mark Slaughter
Siddharth Pahwa
University of Louisville Division of Thoracic and Cardiovascular Surgery

Corresponding Author:[email protected]

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Harideep Samanapally
University of Louisville Division of Infectious Diseases
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Mike O. Udoh
University of Louisville
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Jiapeng Huang
University of Louisville
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Mark Slaughter
University of Louisville Division of Thoracic and Cardiovascular Surgery
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Abstract

Patients diagnosed with COVID-19 infection undergoing surgical procedures have been reported to have increased post-operative complications and mortality. These findings are important when considering cardiac surgical procedures, specifically coronary artery bypass grafting (CABG). This case series describes the clinical course following a CABG procedure in two patients that went on to develop COVID-19 infection post-operatively, having previously tested negative. We aim to illustrate the similarities in clinical presentation, but differences in eventual outcomes for both patients and hypothesize the reasons for the differences. Patients with comorbidities such as advanced age, diabetes mellitus, obesity, hypertension, and COPD are possibly at increased risk of adverse outcomes should they contract the infection, and special care should be taken in this population. Early institution of VV-ECMO may be beneficial, but further studies are needed in this matter.