In epidemiological terms, it would be reasonable to consider a comparison of the age-profile overlap among patients who suffered from more severe COVID-19 with patients who undergo cardiac surgical procedures, since both prevalence of valvular diseases and case-fatality rates for COVID-19 increase in the elderly patients.  Then, reasonably, in the population at risk for more severe COVID-19 there would have been some patients with significant cardiac disorder of surgical interest. The pandemic has forced the imagers to reconsider how best to perform cardiac imaging in the right patients at the right time to minimize the risk of cross-infection(16), then the real prevalence of severe valvular diseases was not thoroughly investigated. We definitely need more data in order to precisely analyze how many COVID-19 patients would have had a worse health outcome, dependent upon different coronary or structural cardiac pathologies. In addition, it would be intriguing to see how patients who have undergone successful cardiac surgery fared if they acquired mild to severe COVID-19. Definitely, the cardiac surgery activity has to adapt to the new circumstances and keep on working.