Early Сontrast-Enhanced Multispiral Computed Tomographic Diagnosis of Septic Pulmonary Embolism and a Case of Successful Surgical Treatment
The review presents a rare clinical case of right-sided infective endocarditis (IE), a variant of early diagnosis using contrast-enhanced multispiral computed tomography (CE-MSCT), and successful surgical treatment for septic pulmonary embolism and right-sided IE. The clinical manifestation of the d...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Luchevaya Diagnostika, LLC
2019-11-01
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| Series: | Вестник рентгенологии и радиологии |
| Subjects: | |
| Online Access: | https://www.russianradiology.ru/jour/article/view/508 |
| _version_ | 1797341618374705152 |
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| author | M. B. Sukhova А. P. Medvedev |
| author_facet | M. B. Sukhova А. P. Medvedev |
| author_sort | M. B. Sukhova |
| collection | DOAJ |
| description | The review presents a rare clinical case of right-sided infective endocarditis (IE), a variant of early diagnosis using contrast-enhanced multispiral computed tomography (CE-MSCT), and successful surgical treatment for septic pulmonary embolism and right-sided IE. The clinical manifestation of the disease lasted about 3 weeks. The diagnosis was established according to the results of an emergency complex CE-MSCT study. At 4 hours after the patient went to the clinic, a combined operation (removal of part of the venous port and thrombectomy from the left pulmonary branch) was successfully performed. There was a complete coincidence of CE-MSCT study data and intraoperative results; staphylococcal septic focus was confirmed in a laboratory. The total length of stay in hospital was 9 days; that of full performance restoration was 3 weeks. The presented case has proven that the CE-MSCT may be the only sufficient technique for detecting septic pulmonary embolism and deciding in favor of surgical treatment, eliminating the need for a different kind of instrumental diagnosis, which significantly reduces the time of diagnosis. |
| first_indexed | 2024-03-08T10:21:38Z |
| format | Article |
| id | doaj.art-67a63171dfe34680a7e2945053a14695 |
| institution | Directory Open Access Journal |
| issn | 0042-4676 2619-0478 |
| language | English |
| last_indexed | 2024-03-08T10:21:38Z |
| publishDate | 2019-11-01 |
| publisher | Luchevaya Diagnostika, LLC |
| record_format | Article |
| series | Вестник рентгенологии и радиологии |
| spelling | doaj.art-67a63171dfe34680a7e2945053a146952024-01-27T18:38:36ZengLuchevaya Diagnostika, LLCВестник рентгенологии и радиологии0042-46762619-04782019-11-01100530430810.20862/0042-4676-2019-100-5-304-308306Early Сontrast-Enhanced Multispiral Computed Tomographic Diagnosis of Septic Pulmonary Embolism and a Case of Successful Surgical TreatmentM. B. Sukhova0А. P. Medvedev1Specialized Сardiac Surgery Clinical HospitalPrivolzhsky Research Medical University, Ministry of Health of the Russian FederationThe review presents a rare clinical case of right-sided infective endocarditis (IE), a variant of early diagnosis using contrast-enhanced multispiral computed tomography (CE-MSCT), and successful surgical treatment for septic pulmonary embolism and right-sided IE. The clinical manifestation of the disease lasted about 3 weeks. The diagnosis was established according to the results of an emergency complex CE-MSCT study. At 4 hours after the patient went to the clinic, a combined operation (removal of part of the venous port and thrombectomy from the left pulmonary branch) was successfully performed. There was a complete coincidence of CE-MSCT study data and intraoperative results; staphylococcal septic focus was confirmed in a laboratory. The total length of stay in hospital was 9 days; that of full performance restoration was 3 weeks. The presented case has proven that the CE-MSCT may be the only sufficient technique for detecting septic pulmonary embolism and deciding in favor of surgical treatment, eliminating the need for a different kind of instrumental diagnosis, which significantly reduces the time of diagnosis.https://www.russianradiology.ru/jour/article/view/508contrast-enhanced multispiral computed tomographypulmonary embolismmultispiral computed tomographic angiopulmonographyseptic pulmonary thromboembolismthromboembolectomy |
| spellingShingle | M. B. Sukhova А. P. Medvedev Early Сontrast-Enhanced Multispiral Computed Tomographic Diagnosis of Septic Pulmonary Embolism and a Case of Successful Surgical Treatment Вестник рентгенологии и радиологии contrast-enhanced multispiral computed tomography pulmonary embolism multispiral computed tomographic angiopulmonography septic pulmonary thromboembolism thromboembolectomy |
| title | Early Сontrast-Enhanced Multispiral Computed Tomographic Diagnosis of Septic Pulmonary Embolism and a Case of Successful Surgical Treatment |
| title_full | Early Сontrast-Enhanced Multispiral Computed Tomographic Diagnosis of Septic Pulmonary Embolism and a Case of Successful Surgical Treatment |
| title_fullStr | Early Сontrast-Enhanced Multispiral Computed Tomographic Diagnosis of Septic Pulmonary Embolism and a Case of Successful Surgical Treatment |
| title_full_unstemmed | Early Сontrast-Enhanced Multispiral Computed Tomographic Diagnosis of Septic Pulmonary Embolism and a Case of Successful Surgical Treatment |
| title_short | Early Сontrast-Enhanced Multispiral Computed Tomographic Diagnosis of Septic Pulmonary Embolism and a Case of Successful Surgical Treatment |
| title_sort | early сontrast enhanced multispiral computed tomographic diagnosis of septic pulmonary embolism and a case of successful surgical treatment |
| topic | contrast-enhanced multispiral computed tomography pulmonary embolism multispiral computed tomographic angiopulmonography septic pulmonary thromboembolism thromboembolectomy |
| url | https://www.russianradiology.ru/jour/article/view/508 |
| work_keys_str_mv | AT mbsukhova earlysontrastenhancedmultispiralcomputedtomographicdiagnosisofsepticpulmonaryembolismandacaseofsuccessfulsurgicaltreatment AT apmedvedev earlysontrastenhancedmultispiralcomputedtomographicdiagnosisofsepticpulmonaryembolismandacaseofsuccessfulsurgicaltreatment |