Preoperative Noninvasive Mapping Allowed Targeted Concomitant Surgical Ablation and Revealed COVID-19 Infection
In March 2020, a 64-year-old female with mitral valve insufficiency and persistent atrial fibrillation underwent preoperative noninvasive mapping for developing an ablation strategy. In the computed tomography (CT) scan, typical signs of COVID-19 were described. Since the consecutive polymerase chai...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2021/6651361 |
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| author | Constantin Mork Luca Koechlin Matthias Streif Alexa Hollinger Martin Siegemund Friedrich Eckstein David Santer |
| author_facet | Constantin Mork Luca Koechlin Matthias Streif Alexa Hollinger Martin Siegemund Friedrich Eckstein David Santer |
| author_sort | Constantin Mork |
| collection | DOAJ |
| description | In March 2020, a 64-year-old female with mitral valve insufficiency and persistent atrial fibrillation underwent preoperative noninvasive mapping for developing an ablation strategy. In the computed tomography (CT) scan, typical signs of COVID-19 were described. Since the consecutive polymerase chain reaction (PCR) test was negative, the severely symptomatic patient was planned for urgent surgery. Noninvasive mapping showed that atrial fibrillation was maintained by left atrial structures and pulmonary veins only. On admission day, the preoperative routine COVID-19 PCR test was positive, and after recovery, uneventful mitral valve repair with cryoablation of the left atrium and pulmonary veins was performed. Our case describes the potential benefit of preoperative noninvasive mapping for the development of a surgical ablation strategy, as well as the challenges in managing urgent surgical patients during the COVID-19 pandemic and the corresponding diagnostic relevance of CT. |
| format | Article |
| id | doaj-art-85b5ba88eddb4e428ae599b1b0841123 |
| institution | OA Journals |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-85b5ba88eddb4e428ae599b1b08411232025-08-20T02:08:57ZengWileyCase Reports in Cardiology2090-64042090-64122021-01-01202110.1155/2021/66513616651361Preoperative Noninvasive Mapping Allowed Targeted Concomitant Surgical Ablation and Revealed COVID-19 InfectionConstantin Mork0Luca Koechlin1Matthias Streif2Alexa Hollinger3Martin Siegemund4Friedrich Eckstein5David Santer6Department of Cardiac Surgery, University Hospital Basel, Basel, SwitzerlandDepartment of Cardiac Surgery, University Hospital Basel, Basel, SwitzerlandDepartment of Radiology, University Hospital Basel, Basel, SwitzerlandIntensive Care Unit, University Hospital Basel, Basel, SwitzerlandIntensive Care Unit, University Hospital Basel, Basel, SwitzerlandDepartment of Cardiac Surgery, University Hospital Basel, Basel, SwitzerlandDepartment of Cardiac Surgery, University Hospital Basel, Basel, SwitzerlandIn March 2020, a 64-year-old female with mitral valve insufficiency and persistent atrial fibrillation underwent preoperative noninvasive mapping for developing an ablation strategy. In the computed tomography (CT) scan, typical signs of COVID-19 were described. Since the consecutive polymerase chain reaction (PCR) test was negative, the severely symptomatic patient was planned for urgent surgery. Noninvasive mapping showed that atrial fibrillation was maintained by left atrial structures and pulmonary veins only. On admission day, the preoperative routine COVID-19 PCR test was positive, and after recovery, uneventful mitral valve repair with cryoablation of the left atrium and pulmonary veins was performed. Our case describes the potential benefit of preoperative noninvasive mapping for the development of a surgical ablation strategy, as well as the challenges in managing urgent surgical patients during the COVID-19 pandemic and the corresponding diagnostic relevance of CT.http://dx.doi.org/10.1155/2021/6651361 |
| spellingShingle | Constantin Mork Luca Koechlin Matthias Streif Alexa Hollinger Martin Siegemund Friedrich Eckstein David Santer Preoperative Noninvasive Mapping Allowed Targeted Concomitant Surgical Ablation and Revealed COVID-19 Infection Case Reports in Cardiology |
| title | Preoperative Noninvasive Mapping Allowed Targeted Concomitant Surgical Ablation and Revealed COVID-19 Infection |
| title_full | Preoperative Noninvasive Mapping Allowed Targeted Concomitant Surgical Ablation and Revealed COVID-19 Infection |
| title_fullStr | Preoperative Noninvasive Mapping Allowed Targeted Concomitant Surgical Ablation and Revealed COVID-19 Infection |
| title_full_unstemmed | Preoperative Noninvasive Mapping Allowed Targeted Concomitant Surgical Ablation and Revealed COVID-19 Infection |
| title_short | Preoperative Noninvasive Mapping Allowed Targeted Concomitant Surgical Ablation and Revealed COVID-19 Infection |
| title_sort | preoperative noninvasive mapping allowed targeted concomitant surgical ablation and revealed covid 19 infection |
| url | http://dx.doi.org/10.1155/2021/6651361 |
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