Clinical-pathological correlation of pulmonary thromboembolism in cardiovascular surgery

Authors

  • Lisvet Triana Triana Unidad de Cuidados Intensivos. Cardiocentro “Ernesto Che Guevara”. Santa Clara, Villa Clara, Cuba.
  • Ileana Puig Reyes Departamento de Anatomía Patológica. Cardiocentro "Ernesto Che Guevara". Santa Clara, Villa Clara, Cuba.
  • Rudy Hernández Ortega Servicio de Cirugía Cardiovascular. Cardiocentro "Ernesto Che Guevara". Santa Clara, Villa Clara, Cuba.
  • Osvaldo González Alfonso Servicio de Cirugía Cardiovascular. Cardiocentro "Ernesto Che Guevara". Santa Clara, Villa Clara, Cuba.
  • Juan M. Rodríguez Alvarez Servicio de Cirugía Cardiovascular. Cardiocentro "Ernesto Che Guevara". Santa Clara, Villa Clara, Cuba.
  • Oliviert Nazco Hernández Servicio de Cirugía Cardiovascular. Cardiocentro "Ernesto Che Guevara". Santa Clara, Villa Clara, Cuba.
  • Leonel Fuentes Herrera Unidad de Cuidados Intensivos. Cardiocentro “Ernesto Che Guevara”. Santa Clara, Villa Clara, Cuba.
  • Alina Ceballos Álvarez Unidad de Cuidados Intensivos. Cardiocentro “Ernesto Che Guevara”. Santa Clara, Villa Clara, Cuba.
  • Omaida J. López Bernal Departamento de Anatomía Patológica. Hospital Pediátrico “José Luis Miranda”. Santa Clara, Villa Clara, Cuba.
  • Yuri Medrano Plana Servicio de Cirugía Cardiovascular. Cardiocentro "Ernesto Che Guevara". Santa Clara, Villa Clara, Cuba.
  • Alain Moré Duarte Servicio de Cirugía Cardiovascular. Cardiocentro "Ernesto Che Guevara". Santa Clara, Villa Clara, Cuba.
  • Jean L. Chao García Servicio de Cirugía Cardiovascular. Cardiocentro "Ernesto Che Guevara". Santa Clara, Villa Clara, Cuba.
  • Emma M. González Rivera Hospital Universitario “Celestino Hernández Robau”. Santa Clara, Villa Clara, Cuba.
  • Marilyn Ramírez Méndez Hospital Universitario “Celestino Hernández Robau”. Santa Clara, Villa Clara, Cuba.

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.

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Published

2014-07-04

How to Cite

1.
Triana Triana L, Puig Reyes I, Hernández Ortega R, González Alfonso O, Rodríguez Alvarez JM, Nazco Hernández O, et al. Clinical-pathological correlation of pulmonary thromboembolism in cardiovascular surgery. CorSalud [Internet]. 2014 Jul. 4 [cited 2025 Jun. 22];6(3):217-22. Available from: https://revcorsalud.sld.cu/index.php/cors/article/view/129

Issue

Vol. 6 No. 3 (2014)

Section

ORIGINAL ARTICLES

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