Belinda Z. Burgos González
Latina Agencia de Noticias de Medicina y Salud Pública
The COVID-19 continues to increase the number of home medicine doctors in a very unobstructed panorama.
And while more and more people are undergoing surgical and clinical screenings in the presence of an invisible patient, this is a case involving an endovascular patient who has been admitted to the San Lucas Emergency Room with a ruptured aneurysm positive to COVID-19.
The patient was intervened before the blood loss. Here is the case of this man of 60 years who smokes that presents abdominal pain. The aneurysm was discovered 8 centimeters long and showed a rupture, according to Dr. Rafael Santini, vascular surgeon at San Lucas de Ponce Hospital.
“Those who go to the hospital with this disease, the death toll, around 75%. Tenia has an abdominal aortic aneurysm. It should be noted that the patient was COVID19 positive. Fue un cuadro un poco estressante. Tenia an emergence of red aneurysm, but the patient should die if not intervened and also coronavirus tenia ”, said.
“The patient was immediately taken to the operating room to be exposed to the nuisance. Our arms of all a protection team. Hicimos the surgery with this patient with COVID19 intubated, with the low pressures because he was actively singing, and we could do a repair of an endovascular aneurysm named EVAR, if he had traversed the angel, if he did not cut a tube, with a small denture of the aorta and tap the gut through which it is tangled and the patient recovers ”, added.
Endovascular aneurysm repair (EVAR) is a surgery to repair an aorta in the aorta (which is the largest body of the body) to prevent it from forming. An aneurysm on its vein is an aortic occlusion. The technique represents less patient morbidity and less time to intervene in the room.
Thank you for the quick work of the doctors, the patient sorevivió both clinical clinics considered dangerous.
More patients compensated for the COVID-19
On the other hand, the subspecialist knows that during this year he has seen more endovascular patients as compensated, for example, who are late with arterial occlusions of the veins, with gangrene in the pie, those who can not offer another if the amputation o, if llegan more complicated with clinical cues of neumonia, renal disease, between others.
Reasonably, there will be a release date of a study to test the clinical status of this patient population.
We would like to demonstrate that the patient is the most admitted, that there are more complications such as the need for more blood transfusions, if more surgery is required, if more days are needed in a ventilator, among other variables. These patients are extremely slow to be evaluated for virus infection, ”he said.
“It represented a more onerous cargo in the Puerto Rican health care system. No tengo la menor duda ”, conclusion.
Dr. Santini’s position is the same as the one that kept the Puerto Rican doctors, all of whom, in a single voyage, instructed the patients to continue their treatments and medical treatments of the chronic diseases, during the most serious cases of hemorrhage. travel to Puerto Rico and enter the world.