Clinical-pathological correlation of pulmonary thromboembolism in cardiovascular surgery
Introduction: Pulmonary thromboembolism is the condition generated by the interruption of the blood supply to a portion of the lung by a blockage of an afferent vessel. Objective: To compare the clinical-pathologic correlation of the diagnosis of pulmonary thromboembolism in patients undergoing sur...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Cardiocentro Ernesto Che Guevara
2016-01-01
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| Series: | CorSalud |
| Online Access: | http://www.revcorsalud.sld.cu/index.php/cors/article/view/129 |
| _version_ | 1818882830240841728 |
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| author | Lisvet Triana Triana Ileana Puig Reyes Rudy Hernández Ortega Osvaldo González Alfonso Juan M. Rodríguez Alvarez Oliviert Nazco Hernández Leonel Fuentes Herrera Alina Ceballos Álvarez Omaida J. López Bernal Yuri Medrano Plana Alain Moré Duarte Jean L. Chao García Emma M. González Rivera Marilyn Ramírez Méndez |
| author_facet | Lisvet Triana Triana Ileana Puig Reyes Rudy Hernández Ortega Osvaldo González Alfonso Juan M. Rodríguez Alvarez Oliviert Nazco Hernández Leonel Fuentes Herrera Alina Ceballos Álvarez Omaida J. López Bernal Yuri Medrano Plana Alain Moré Duarte Jean L. Chao García Emma M. González Rivera Marilyn Ramírez Méndez |
| author_sort | Lisvet Triana Triana |
| collection | DOAJ |
| description | Introduction: Pulmonary thromboembolism is the condition generated by the interruption of the blood supply to a portion of the lung by a blockage of an afferent vessel.
Objective: To compare the clinical-pathologic correlation of the diagnosis of pulmonary thromboembolism in patients undergoing surgery and to describe some related variables.
Method: A descriptive-retrospective study was conducted. The sample consisted of 26 patients who had clinical or post-mortem diagnosis of pulmonary thromboembolism.
Results: All patients (100%) had tachycardia and tachypnea. Bronchopneumonia and chronic obstructive pulmonary disease (40% respectively) were the main causes of misdiagnosis. In the majority of cases (45.4%), the involvement was at the level of the thin branches. Clinical diagnosis was confirmed in 34.8% of patients. The main risk factors that were identified included: major surgery, the need for prolonged bed rest (81.8% respectively), the use of cardiopulmonary bypass and the occurrence of shock (72.7% respectively). Among patients with confirmed diagnosis, 72.7% had an adequate therapeutic dose of heparin.
Conclusions: Pulmonary thromboembolism was a rare complication in cardiovascular surgery, and clinical suspicion exceeded the actual existence of the disease, therefore the clinical-pathological correlation was poor. |
| first_indexed | 2024-12-19T15:23:59Z |
| format | Article |
| id | doaj.art-e1f1386cacee4b148a419b4b04d829de |
| institution | Directory Open Access Journal |
| issn | 2078-7170 |
| language | English |
| last_indexed | 2024-12-19T15:23:59Z |
| publishDate | 2016-01-01 |
| publisher | Cardiocentro Ernesto Che Guevara |
| record_format | Article |
| series | CorSalud |
| spelling | doaj.art-e1f1386cacee4b148a419b4b04d829de2022-12-21T20:15:56ZengCardiocentro Ernesto Che GuevaraCorSalud2078-71702016-01-0163217222132Clinical-pathological correlation of pulmonary thromboembolism in cardiovascular surgeryLisvet Triana Triana0Ileana Puig Reyes1Rudy Hernández Ortega2Osvaldo González Alfonso3Juan M. Rodríguez Alvarez4Oliviert Nazco Hernández5Leonel Fuentes Herrera6Alina Ceballos Álvarez7Omaida J. López Bernal8Yuri Medrano Plana9Alain Moré Duarte10Jean L. Chao García11Emma M. González Rivera12Marilyn Ramírez Méndez13Unidad de Cuidados Intensivos. Cardiocentro “Ernesto Che Guevara”. Santa Clara, Villa Clara, Cuba.Departamento de Anatomía Patológica. Cardiocentro "Ernesto Che Guevara". Santa Clara, Villa Clara, Cuba.Servicio de Cirugía Cardiovascular. Cardiocentro "Ernesto Che Guevara". Santa Clara, Villa Clara, Cuba.Servicio de Cirugía Cardiovascular. Cardiocentro "Ernesto Che Guevara". Santa Clara, Villa Clara, Cuba.Servicio de Cirugía Cardiovascular. Cardiocentro "Ernesto Che Guevara". Santa Clara, Villa Clara, Cuba.Servicio de Cirugía Cardiovascular. Cardiocentro "Ernesto Che Guevara". Santa Clara, Villa Clara, Cuba.Unidad de Cuidados Intensivos. Cardiocentro “Ernesto Che Guevara”. Santa Clara, Villa Clara, Cuba.Unidad de Cuidados Intensivos. Cardiocentro “Ernesto Che Guevara”. Santa Clara, Villa Clara, Cuba.Departamento de Anatomía Patológica. Hospital Pediátrico “José Luis Miranda”. Santa Clara, Villa Clara, Cuba.Servicio de Cirugía Cardiovascular. Cardiocentro "Ernesto Che Guevara". Santa Clara, Villa Clara, Cuba.Servicio de Cirugía Cardiovascular. Cardiocentro "Ernesto Che Guevara". Santa Clara, Villa Clara, Cuba.Servicio de Cirugía Cardiovascular. Cardiocentro "Ernesto Che Guevara". Santa Clara, Villa Clara, Cuba.Hospital Universitario “Celestino Hernández Robau”. Santa Clara, Villa Clara, Cuba.Hospital Universitario “Celestino Hernández Robau”. Santa Clara, Villa Clara, Cuba.Introduction: Pulmonary thromboembolism is the condition generated by the interruption of the blood supply to a portion of the lung by a blockage of an afferent vessel. Objective: To compare the clinical-pathologic correlation of the diagnosis of pulmonary thromboembolism in patients undergoing surgery and to describe some related variables. Method: A descriptive-retrospective study was conducted. The sample consisted of 26 patients who had clinical or post-mortem diagnosis of pulmonary thromboembolism. Results: All patients (100%) had tachycardia and tachypnea. Bronchopneumonia and chronic obstructive pulmonary disease (40% respectively) were the main causes of misdiagnosis. In the majority of cases (45.4%), the involvement was at the level of the thin branches. Clinical diagnosis was confirmed in 34.8% of patients. The main risk factors that were identified included: major surgery, the need for prolonged bed rest (81.8% respectively), the use of cardiopulmonary bypass and the occurrence of shock (72.7% respectively). Among patients with confirmed diagnosis, 72.7% had an adequate therapeutic dose of heparin. Conclusions: Pulmonary thromboembolism was a rare complication in cardiovascular surgery, and clinical suspicion exceeded the actual existence of the disease, therefore the clinical-pathological correlation was poor.http://www.revcorsalud.sld.cu/index.php/cors/article/view/129 |
| spellingShingle | Lisvet Triana Triana Ileana Puig Reyes Rudy Hernández Ortega Osvaldo González Alfonso Juan M. Rodríguez Alvarez Oliviert Nazco Hernández Leonel Fuentes Herrera Alina Ceballos Álvarez Omaida J. López Bernal Yuri Medrano Plana Alain Moré Duarte Jean L. Chao García Emma M. González Rivera Marilyn Ramírez Méndez Clinical-pathological correlation of pulmonary thromboembolism in cardiovascular surgery CorSalud |
| title | Clinical-pathological correlation of pulmonary thromboembolism in cardiovascular surgery |
| title_full | Clinical-pathological correlation of pulmonary thromboembolism in cardiovascular surgery |
| title_fullStr | Clinical-pathological correlation of pulmonary thromboembolism in cardiovascular surgery |
| title_full_unstemmed | Clinical-pathological correlation of pulmonary thromboembolism in cardiovascular surgery |
| title_short | Clinical-pathological correlation of pulmonary thromboembolism in cardiovascular surgery |
| title_sort | clinical pathological correlation of pulmonary thromboembolism in cardiovascular surgery |
| url | http://www.revcorsalud.sld.cu/index.php/cors/article/view/129 |
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