CARDIAC SURGERY
Cardiac surgery Hub evaluated 30 patients during the first 30 days of
activity, 24 (80.0%) of them underwent surgery. Preoperative and
perioperative characteristics are reported in tables III-V. None of the
treated patients resulted positive at Sars-COV19 test. The most frequent
pathology was coronary artery disease (n. 10, 34.5%), followed by
valvulopathy (n.9, 31.1%), endocarditis (n. 2, 6.9%) and thoracic
aorta disease (n. 1, 3,5%). Emergency cases represented 13.8% (n.4) of
the total, while urgent and not deferrable operations were 41.4% (n.12)
and 27.85% (8), respectively. Thirteen patients (54,2%) were
transferred from other hospitals. Total in-hospital mortality was 0.0%,
no ECMO implantation was necessary. The majority of treated patients
were discharged to rehabilitation centers (87.5%). Six patients were
discarded from surgery due to prohibitive risk (tab.IV). Two Spoke
centers out of 5 had treated a total of five not transferrable
emergencies: three patients affected by aortic dissections, one patient
with acute endocarditis and hemodynamic instability, one patient with
severe cardiac tamponade.