Conclusion:
According to our observations and dramatic higher in-hospital mortality
of patients with COVID-19 who undergo cardiovascular surgery, we
recommend to postpone all elective surgeries till the end of the crisis.
In case of emergency indication for surgery, the patients should be
tested for RT-PCR and chest CT scan before surgery and get necessary
medications if highly suspected to COVID-19. In borderline surgical
indications, especially in individuals with history of contact with any
confirmed or suspected COVID-19 patients, we suggest to perform
laboratory and imaging evaluations, wait for the screening results
before the surgery and monitor the patients closely after the surgery.
Meanwhile all health-care staffs who are involved in any procedures
should use full personal protective equipment.