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Anasthesiol Intensivmed Notfallmed Schmerzther · Dec 2023
Case Reports[Asymptomatic SARS-CoV-2 Infection and "in situ split" Liver Resection with Fatal Outcome - A Case Report].
- Sarah-Helene Müller, Philipp Anton Holzner, and Torsten Loop.
- Anasthesiol Intensivmed Notfallmed Schmerzther. 2023 Dec 1; 58 (11-12): 660664660-664.
AbstractWe report the perioperative course of a 47-year-old patient who underwent a two-stage liver resection for bilobar metastatic colorectal carcinoma. The respiratory asymptomatic patient was tested positive for SARS-CoV-2 by PCR detection one day before the second surgical procedure. Postoperatively, the patient suffered cardiovascular arrest on postoperative day 8 and died despite immediately initiated resuscitative measures. With an initial clinical suspicion of vascular liver failure, postmortem pathologic examination revealed the underlying cause of death to be COVID-19-related myocarditis with acute right heart failure. Individual multidisciplinary risk assessment should be considered very critically when deviating from the "7-week rule" because the benefit is difficult to objectify, even in oncologic patients.Thieme. All rights reserved.
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