Endocarditis mitroaórtica aguda en paciente con reparación mitral previa e infección intercurrente por COVID-19: controversia en la adherencia a las guías clínicas actuales
2020
The new SARS-CoV-2 coronavirus is responsible for the current pandemic (COVID-19) and the consequent
international health emergency. The clinical spectrum is broad, with recent reports of cases with cardiac
involvement, mainly myocarditis, in COVID-19 patients. To date there are few reports of COVID-19 cases
in need of heart surgery. The position of the Spanish Society of Cardiovascular and Endovascular Surgery
(SECCE) has been to ensure the correct care of emerging and urgent patients, according to current clinical
guidelines, however, in some cases the distinction between involvement of cardiac or pulmonary etiology
can make the decision-making difficult. We present the case of a man with infective endocarditis and
intercurrent infection with COVID-19, in which multidisciplinary consensus was essential to set the
surgical indication, because his symptomatology generated controversy with current clinical guidelines
of the European Society of Cardiology (ESC) on infective endocarditis. We consider that the adaptation
of the guidelines during the current health emergency and the multidisciplinary decision-making can
facilitate therapeutic action in complex cases of cardiac pathologies with surgical indication and COVID19 coinfection.
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