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- Title
Clinical-pathological correlation of pulmonary thromboembolism in cardiovascular surgery.
- Authors
Triana, Lisvet Triana; Reyes, Ileana Puig; Ortega, Rudy Hernández; Alfonso, Osvaldo González; Rodríguez Alvarez, Juan M.; Hernández, Oliviert Nazco; Herrera, Leonel Fuentes; Álvarez, Alina Ceballos; López Bernal, Omaida J.; Plana, Yuri Medrano; Duarte, Alain Moré; Chao García, Jean L.; González Rivera, Emma M.; Méndez, Marilyn Ramírez
- Abstract
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.
- Publication
CorSalud, 2014, Vol 6, Issue 3, p217
- ISSN
2078-7170
- Publication type
Article