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.