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Congenital: Hypoplastic Left Heart Syndrome
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- Commentary
Commentary: Adapting the practice of congenital heart surgery to the coronavirus disease 2019 (COVID-19) pandemic
The Journal of Thoracic and Cardiovascular SurgeryVol. 161Issue 2e103–e104Published online: June 23, 2020- Emile Bacha
Cited in Scopus: 1Bezerra and colleagues1 report on an interesting case from São Paulo, Brazil, where, as of this writing in June 2020, coronavirus disease 2019 (COVID-19) is raging. This worldwide pandemic took clinicians by surprise and, as a consequence, there is a lot to catch up on, such as the different manifestations of this new disease, how it affects patients with congenital heart disease (CHD), and on how to prevent it. Writing from the one-time epicenter of the COVID-19 crisis in NYC, our team has unfortunately been confronted with patients with CHD infected with COVID-19 at different perioperative time periods, such as in asymptomatic patients coming from home for semielective surgery who tested positive on their polymerase chain reaction (PCR) nasal swab test, in a patient with cardiomyopathy on extracorporeal membrane oxygenation support who required a ventricular assist device while still positive, and in postoperative patients after Fontan and after truncus arteriosus repair (after testing negative on their preoperative PCR tests).