An ABC approach to cardiothoracic complications and sequelae of COVID-19: a tertiary centre experience

Clin Med (Lond). 2023 Nov;23(6):606-610. doi: 10.7861/clinmed.2023-0205.

Abstract

The Coronavirus disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has caused unprecedented challenges to healthcare professionals (HCPs) worldwide. HCPs faced an unknown disease causing many complications, including now well-established acute respiratory distress syndrome (ARDS) and pulmonary artery thromboembolic disease, and some not so well known, for instance, tracheobronchomalacia, tracheal tear or dehiscence, granulation tissue formation and pulmonary hypertension. Many of these complications require highly specialist care warranting early recognition of complications and involvement of appropriately trained professionals. Here, we review the complications and sequelae encountered at our tertiary care centre with follow-up data and potential management strategies using the A (Airway), B (Breathing), C (Circulation) approach. This will not only familiarise HCPs with the different complications of COVID-19, but also arm them with a systematic approach to these complications.

Keywords: large airway injury; pulmonary fibrosis; pulmonary hypertension; pulmonary thromboembolic disease; sildenafil.

Publication types

  • Review

MeSH terms

  • COVID-19* / complications
  • Disease Progression
  • Humans
  • Lung
  • Pandemics
  • Respiratory Distress Syndrome*
  • SARS-CoV-2