Clinical Physiology of Circulation

ISSN 1814-6910 (Print)
ISSN 2410-9134 (Online)

 

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


Issue's catalogue ➤ КФК. 2023; 20 (4): 321-410 ➤ Развитие острого некардиогенного отека легких у пациентов с COVID-19 в анамнезе, перенесших кардиохирургическую операцию

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

E-mail: Сведения доступны для зарегистрированных пользователей.

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

Keywords:  COVID-19 noncardiogenic pulmonary edema cardiac surgery

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.

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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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