The physiology of Covid 19 and its interaction with common medical conditions and procedures is only beginning to be understood. We present a case of a woman with an acute aortic rupture who required cardiopulmonary bypass with deep hypothermic circulatory arrest. She had no respiratory issues related to Covid, but her post op course was notable for refractory status epilepticus and it is unclear if Covid 19 may have had played a role in exacerbating neurologic injury.