Many hospitals will continue to see a surge in COVID-19 cases and halt of elective cases, while others pass the surge and begin to restart elective surgeries. Regardless of the phase each hospital encounters, the safety of both patients and staff must be taken into account.1,2 This case report describes a patient who underwent urgent coronary artery bypass grafting (CABG) at the beginning of the COVID-19 surge. The initial postoperative course was uneventful and the patient was discharged on postoperative day 4. The patient presented nearly two weeks later with a subsequent severe COVID-19 infection complicated by STEMI and stroke. This case not only demonstrates the risks and potential complications of caring for cardiac surgery patients during the COVID-19 pandemic, it is the only known reported case of a patient developing severe COVID-19 infection after a CABG resulting in STEMI and stroke due to hypercoagulable state associated with COVID-19.