COVID-19 IN PATIENTS RECOVERING FROM CARDIAC SURGERY: A SURPRISING MILD
DISEASE COURSE
Abstract
Cardiac surgical patients are often discharged to a rehabilitation
facility to complete the convalescence in a protected setting. This care
pathway is usually reserved for elderly and fragile patients, with
severe and invalidating comorbid conditions. Between March and April
2020, nineteen patients were discharged from our unit to a
rehabilitation clinic where a hotbed of SARS-CoV-2 infection was
documented on April 17. After the outbreak, all patients underwent
screening with real-time PCR on nasal swabs, and 18/19 patients were
found positive. Diversely from other observations on perioperative
COVID-19 reporting mortality rates of 30-40%, the COVID-19 had a benign
course in our cohort: six patients were completely asymptomatic, and
only seven patients required hospitalization (no deaths). We describe
the baseline, operative and postoperative features of these patients,
and present some potential explanations for the surprisingly benign
course of the COVID-19 in this cohort.