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Pulmonary Vascular Disease |

Upper Extremity Deep Vein Thrombosis Central Venous Catheters-Related and Pulmonary Embolism After Cardiac Surgery

Cleante Scarduelli, MD; Redenta Ghirardi, MD; Ornella Tortelli, MD; Rino Frizzelli, MD; Fabia Mascaro, MD; Claudio Pinzi, MD
Author and Funding Information

Az. Ospedaliera C. Poma Mantova, Mantova, Italy


Chest. 2014;145(3_MeetingAbstracts):527A. doi:10.1378/chest.1834520
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Abstract

SESSION TITLE: DVT/PE Posters

SESSION TYPE: Poster Presentations

PRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PM

PURPOSE: Our purpose is to describe clinical presentation and diagnostic approach in 5 patients presenting with upper extremity deep vein thrombosis (UEDVT) central venous catheters (CVC)-related and pulmonary embolism after cardiac surgery

METHODS: We report clinical caracteristics, diagnostic approach, management and evolution of 5 patients consecutively admitted to our Cardiopulmonary Rehabilitation Unit.

RESULTS: Clinical caracteristics of the patients at diagnosis were (beginning from the left column) : 1-Name, 2-sex, 3-age, 4- type of surgery, 5-days after surgery. 6-systolic pulm. pressure (mmHg), 7-PaO2(mmHg), 8-PaCO2(mmHg), 9-pH G.I M 58 CABPG 5 60 60 33 7,49 B.F. M 54 CABPG 7 25 58 35 7,48 S.P. M 75 Valve 3 50 45 32 7,49 R.B. M 55 CABPG 9 30 70 36 7,45 P.A M 64 CABPG 7 64 45 31 7,47 MEAN 5 61 4 CABG 6,2 45 55 33 7,47 CABPG is for coronary artery bypass graft

CONCLUSIONS: UEDVT CVCs related may complicate with pulmonary embolism, pulmonary hypertension and respiratory failure. Pulmonary embolism in our patients developed in 1 week after surgery. Early diagnosis and treatment are crucial for clinical and functional improvement and prevention of recurrence of pulmonary embolism

CLINICAL IMPLICATIONS: Clinicians managing post-cardiac surgery patients need to know and seek for venous thromboembolism CVCs related after cardiac surgery

DISCLOSURE: The following authors have nothing to disclose: Cleante Scarduelli, Redenta Ghirardi, Ornella Tortelli, Rino Frizzelli, Fabia Mascaro, Claudio Pinzi

No Product/Research Disclosure Information


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