Alireza Alizadeh Ghavidel
1* 
, Mohammadreza Mirzaaghayan
2, Mohammad Ali Yousefnia
3, Esmaeil Asdaghpour
4, Ramin Baghaei Tehrani
5, Naser Jalilifar
6, Hasan Radmehr
2, Mahmoud Shirzad
7, Nicholas Austine
8, Hosein Ahmadi
7, Zargham Hossein Ahmadi
9, Abbas Afrasiabi Rad
10, Ahmadali Amirghofran
11, Ahmad Amin
12, Zahra Ansari Aval
5, Kamran Babazadeh
13, Alireza Bakhshandeh
14, Bahador Baharestani
15, Rezayat Parvizi
10, Amirnaser Jadbabaei
9, Alireza Jahangirifard
16, Saeed Hoseini
1, Manouchehr Hekmat
5, Amanollah Heidari
17, Minoosh Shabani
18, Parham Sadeghipour
19, Mehrdad Salehi
14, Shervin Ziabakhsh Tabari
20, Mohammad Abbasi
21, Maziar Gholampour Dahaki
15, Ata Firouzi
19, Mojgan Laali
22, Mohammad Hosein Mandegar
23, Mohsen Mirmohammadsadeghi
24, Mohammadali Navvabi Shirazi
25, Akbar Nikpajooh
261 Heart Valve Disease Research Center, Rajaei Cardiovascular Medical & Research Center, Iran University of Medical Science, Tehran Iran
2 Department of Cardiac Surgery, Tehran Children Hospital, Tehran University of Medical Science, Tehran Iran
3 Department of Cardiac Surgery, Day General Hospital, Tehran, Iran
4 Department of Cardiac Surgery, Shahid Chamran Hospital, Tehran, Iran
5 Department of Cardiac Surgery, Shahid Moddares Hospital, Shahid Beheshti University of Medical Science, Tehran Iran
6 Department of Cardiac Surgery, Rasoul Akram Hospital, Iran University of Medical Science, Tehran, Iran
7 Department of Cardiac Surgery, Tehran Heart Center, Tehran University of Medical Science, Tehran Iran
8 Editoral Office, Iranian Society of Cardiac Surgeons, Tehran, Iran
9 Department of Cardiac Surgery, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Science, Tehran Iran
10 Cardiovascular Research Center, Tabriz University of Medical Science, Tabriz, Iran
11 Department of Cardiac Surgery, Shahid Faghihi Hospital, shiraz University of Medical Science, Shiraz, Iran
12 Department of Cardiology, Rajaei Cardiovascular Medical & Research Center, Iran University of Medical Science, Tehran Iran
13 Department of Cardiac Surgery, Milad General Hospital, Tehran, Iran
14 Department of Cardiac Surgery, Imam Khomeini Medical Center, Tehran University of Medical Science, Tehran Iran
15 Department of Cardiac Surgery, Rajaei Cardiovascular Medical & Research Center, Iran University of Medical Science, Tehran Iran
16 Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
17 Department of Cardiac Surgery, Golestan Hospital, Ahvaz University of Medical Science, Ahvaz Iran
18 Department of Infectious Disease, Loghman Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
19 Cardiovascular Intervention Research Center, Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, Iran
20 Department of Cardiac Surgery, Fatemeh Zahra Hospital, Mazandaran University of Medical Science, Sari Iran
21 Department of Cardiac Surgery, Imam Reza Hospital, Mashhad University of Medical Science, Mashhad Iran
22 Department of Cardiac Surgery, La pitié-salpetrier Hospital, Paris, France
23 Department of Cardiac Surgery, Shariati hospital, Tehran University of Medical Science, Tehran Iran
24 Department of Cardiac Surgery, Shahid Chamran Hospital, Isfahan University of Medical Science, Isfahan Iran
25 Department of Cardiac Surgery, Laleh Hospital, Tehran Iran
26 Department of Social Medicine, Rajaei Cardiovascular Medical & Research Center, Iran University of Medical Science, Tehran Iran
Abstract
Given the nature of heart disease and the importance of continuing heart surgery during the pandemic and its aftermath and in order to provide adequate safety for the surgical team and achieve the desired result for patients, as well as the optimal use of ICU beds, the medical team, blood, blood products, and personal protective equipment, it is essential to change the usual approach during the pandemic. There are still a lot of evidences and experiences needed to produce the perfect protocol. Some centers may have a special program for their centers during this period of epidemics that can be respected and performed. Generally, in pandemic conditions, the use of non-surgical approaches is preferred if similar outcomes can be obtained.