Preview

Grekov's Bulletin of Surgery

Advanced search

Surgical treatment of a patient with pulmonary embolism after a new coronavirus infection

https://doi.org/10.24884/0042-4625-2023-182-2-59-63

Abstract

Venous thromboembolic complications (VTC) occupy one of the central positions in the structure of complications associated with a new coronavirus infection. Characterized by high epidemiological thresholds, as well as an atypical clinical picture, they determine the search for new approaches to early diagnosis and active treatment. Surgical treatment of pulmonary embolism, in itself, is an extremely controversial method of reperfusion of the pulmonary arterial bed basin. If we talk about pulmonary embolism associated with the new coronavirus infection, then we have not found a single described clinical case in the literature available to us. The article presents the first experience of complex treatment of subacute pulmonary embolism that developed against the background of COVID-19. The obtained treatment results demonstrate the need to develop a unified treatment protocol at the intersection of interdisciplinary areas, which will help to find answers to the post.

About the Authors

S. A. Fedorov
Research Institute - Specialized Cardiosurgical Clinical Hospital named after Academician B. A. Korolev; Privolzhsky Research Medical University; Chuvash State University named after I. N. Ulyanov
Russian Federation

Fedorov Sergei A., Cand. of Sci. (Med.), Cardiovascular Surgeon of the II CSD; Assistant of the Department of Hospital Surgery named after B. A. Korolev; Assistant of the Department of Hospital Surgery

209, Vaneeva str., Nizhny Novgorod, 603950

Chuvash Republic, Cheboksary



S. A. Zhurko
Research Institute - Specialized Cardiosurgical Clinical Hospital named after Academician B. A. Korolev

Zhurko Sergei A., Cand. of Sci. (Med.), Cardiovascular Surgeon, Head of the II CSD

Nizhny Novgorod



V. V. Pichugin
Research Institute - Specialized Cardiosurgical Clinical Hospital named after Academician B. A. Korolev; Privolzhsky Research Medical University

Pichugin Vladimir V., Dr. of Sci. (Med.), Professor of the Department of Anesthesiology, Intensive Care and Transfusiology; Anesthesiologist – Intensivist

Nizhny Novgorod



D. I. Lashmanov
Research Institute - Specialized Cardiosurgical Clinical Hospital named after Academician B. A. Korolev

Lashmanov Dmitrii I., Cand. of Sci. (Med.), Cardiovascular Surgeon of the II CSD

Nizhny Novgorod



M. B. Sukhova
Research Institute - Specialized Cardiosurgical Clinical Hospital named after Academician B. A. Korolev

Sukhanova Marina B., Cand. of Sci. (Med.), Head of the Radiodiagnostic Department

Nizhny Novgorod



M. L. Kalinina
Research Institute - Specialized Cardiosurgical Clinical Hospital named after Academician B. A. Korolev

Kalinina Mariia L., Cand. of Sci. (Med.), Ultrasound Diagnostics Doctor, Head of the Department of Functional Diagnostics

Nizhny Novgorod



References

1. Medvedev A. P., Fedorov S. A., Trofimov N. A., Tselousova L. M. Еrrors in the diagnosis and treatment of pulmonary embolism // Cardiology and Cardiovascular Surgery. 2021;14(1):54–59. (In Russ.). Doi: 10.17116/kardio20211401154.

2. Bikdeli B., Madhavan M. V., Jimenez D. et al. Сovid-19 and thrombotic or thromboembolic disease: implications for prevention, antithrombotic therapy, and follow-up // JACC. 2020;75(23):2950–2973. Doi: 10.1016/j.jacc.2020.04.031.

3. Tang N., Li D., Wang X., Sun Z. Аbnormal coagulation parameters are associated with poor prognosis in patients with novel coronavirus pneumonia // J ThrombHaemost. 2020;18(4):844–847.

4. Cао X. COVID-19 Immunopathology and its implications for therapy // Nat Rev Immunol. 2020;20(5):269–270. Doi: 10.1038/s41577-0200308-3.

5. Tang N., Bai H., Chen X. et al. Аnticoagulant treatment is associated with decreased mortality in severe coronavirus disease 2019 patients with coagulopathy // J ThrombHaemost. 2020;18(5):1094–1099. Doi: 10.1111/JTH.14817.

6. Konstantinides S. V., Meyer G., Becattini C. et al. 2019 esc guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the european respiratory society (ERS) // Eur Heart J. 2020;41(4):543–603. Doi: 10.1093/eurheartj/ehz405.

7. Sodhi C. P., Wohlford-Lenane C., Yamaguchi Y., Prindle T., Fulton W. B. et al. Attenuation of pulmonary ACE2 activity impairs inactivation of des-Arg9 bradykinin/BKB1R axis and facilitates LPS-induced neutrophil infiltration // Am J PhysiolLungCellMolPhysiol. 2018;314(1):17–31. Doi: 10.1152/ajplung.00498.2016.

8. Fedorov S. A., Medvedev A. P., Borovkova N. Yu., Taranov E. V. Рathogenetic basis of venous thromboembolic complications as deuteropathies of covid-19 // Clinical Medicine. 2020;96(7):485–490. (In Russ.). Doi: 10.30629/0023-2149-2020-98-7-485-490.


Supplementary files

Review

For citations:


Fedorov S.A., Zhurko S.A., Pichugin V.V., Lashmanov D.I., Sukhova M.B., Kalinina M.L. Surgical treatment of a patient with pulmonary embolism after a new coronavirus infection. Grekov's Bulletin of Surgery. 2023;182(2):59-63. (In Russ.) https://doi.org/10.24884/0042-4625-2023-182-2-59-63

Views: 332


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 0042-4625 (Print)
ISSN 2686-7370 (Online)