Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Development of acute non-cardiogenic pulmonary edema in patients with a history of COVID-19 who underwent cardiac surgery

Authors: Rybka M.M., Goncharov A.A., Yudin G.V., Nurkaev M.T., Chegrina L.V., Kudaev K.A.

Company:
Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

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DOI: https://doi.org/10.24022/1814-6910-2023-20-4-403-410

UDC: 616.24-005.98:578.834.11

Link: Clinical Physiology of Blood Circulaiton. 2023; 4 (20): 403-410

Quote as: Rybka M.M., Goncharov A.A., Yudin G.V., Nurkaev M.T., Chegrina L.V., Kudaev K.A. Development of acute noncardiogenic pulmonary edema in patients with a history of COVID-19 who underwent cardiac surgery. Clinical Physiology of Circulation. 2023; 20 (4): 403–10 (in Russ.). DOI: 10.24022/1814-6910-2023-20-4-403-410

Received / Accepted:  26.10.2023 / 22.12.2023

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Abstract

The clinical observation of acute noncardiogenic pulmonary edema in two patients who underwent surgery under bypass is described. Postoperative pulmonary edema is a common occurrence in cardiac surgery. Most often, it is caused by left ventricular (LV) dysfunction and has a number of characteristic signs. First of all, an increase in the pulmonary capillary wedge pressure (PCWP) with a decrease in LV contractility. The changes in the radiographs of the patients presented reflect a large amount of fluid in the pulmonary interstitium. In the described cases, LV pumping function remained normal. The PCWP did not exceed 18 mmHg. Accordingly, there was a second pathophysiological variant of pulmonary edema – noncardiogenic (increased permeability). It was not possible to detect any factors that could be associated with increased vascular permeability, with the exception of COVID-19 with a severe history in patients.

About Authors

  • Mikhail M. Rybka, Dr. Med. Sci., Deputy Director for Anesthesiology and Reanimatology, Head of Department of Anesthesiology, Resuscitation and Intensive Care with Early Rehabilitation Group; ORCID
  • Andrey A. Goncharov, Cand. Med. Sci., Anesthesiologist-Intensivist; ORCID
  • Gennadiy V. Yudin, Dr. Med. Sci., Head of Department of Reanimation and Intensive Care for Adults; ORCID
  • Marufzhon T. Nurkaev, Postgraduate, Institute of Experts Training and Professional Development at Bakoulev Center; ORCID
  • Lyubov V. Chegrina, Cand. Med. Sci., Anesthesiologist-Intensivist; ORCID
  • Kantemir A. Kudaev, Anesthesiologist-Intensivist; ORCID

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