PULMONARY ARTERY INTIMAL SARCOMA MIMICKING PULMONARY EMBOLISM: SURGICAL TREATMENT RESULTS
Sergey A. Fedorov,
Alexander P. Medvedev,
Lada M. Tselousova,
Sergey A. Zhurko,
Vladimir A. Chiginev,
Olga V. Krasnikova,
Natalia V. Rogulina,
Vladimir V. Pichugin,
Yuri D. Brichkin,
Alexander S. Gordetsov,
Roman A. Deryabin,
Anastasia R. Kondratieva https://doi.org/10.17802/2306-1278-2023-12-2-196-206
Abstract
Highlights
The article describes a rare case of surgical treatment of pulmonary artery intimal sarcoma. The authors analyzed the causes for incorrect diagnosis of pulmonary embolism in detail, and proposed alternative options for distinguishing the diseases under consideration. Moreover, the authors analyzed different surgical treatment modalities of intracardial sarcomas, and demonstrated the prospect of using molecular hydrogen as a component of an anesthetics during surgical interventions with cardiopulmonary bypass.
Abstract
The article describes a rare clinical case of a patient with pulmonary artery sarcoma. The absence of specific symptoms of sarcoma, as well as features of developing cardiovascular and respiratory failure, characteristic of pulmonary embolism, contributed to the incorrect diagnosis. The article analyzes the main problems of primary diagnostics, and proposes new parameters for evaluating manifesting symptoms and the results of additional examination, which should improve the results of surgical treatment of malignant tumors.
About the Authors
Sergey A. Fedorov
State Budgetary Healthcare Institution of the Nizhny Novgorod Region “Research Institute – Specialized Cardiosurgical Clinical Hospital named after academician B.A. Korolev”
Russian Federation
Russian Federation
PhD., Cardiovascular Surgeon at the State Budgetary Healthcare Institution of the Nizhny Novgorod Region “Research Institute – Specialized Cardiosurgical Clinical Hospital named after academician B.A. Korolev”, Nizhnу Novgorod, Russian Federation
Alexander P. Medvedev
State Budgetary Healthcare Institution of the Nizhny Novgorod Region “Research Institute – Specialized Cardiosurgical Clinical Hospital named after academician B.A. Korolev”; Federal State Budgetary Educational Institution of Higher Education “Privolzhsky Research Medical University” of the Ministry of Health of the Russian Federation
PhD, Cardiovascular Surgeon at the State Budgetary Healthcare Institution of the Nizhny Novgorod Region “Research Institute – Specialized Cardiosurgical Clinical Hospital named after academician B.A. Korolev”, Nizhnу Novgorod, Russian Federation; Professor at the Department of Advanced Surgery named after B.A. Korolev, Federal State Budgetary Educational Institution of Higher Education “Privolzhsky Research Medical University” of the Ministry of Health of the Russian Federation, Nizhny Novgorod, Russian Federation
Lada M. Tselousova
State Budgetary Healthcare Institution of the Nizhny Novgorod Region “Nizhny Novgorod Regional Clinical Oncological Dispensary”
Cardiovascular Surgeon at the State Budgetary Healthcare Institution of the Nizhny Novgorod Region “Nizhny Novgorod Regional Clinical Oncological Dispensary”, Nizhny Novgorod, Russian Federation
Sergey A. Zhurko
State Budgetary Healthcare Institution of the Nizhny Novgorod Region “Research Institute – Specialized Cardiosurgical Clinical Hospital named after academician B.A. Korolev”
PhD., Cardiovascular Surgeon at the State Budgetary Healthcare Institution of the Nizhny Novgorod Region “Research Institute – Specialized Cardiosurgical Clinical Hospital named after academician B.A. Korolev”, Nizhnу Novgorod, Russian Federation
Vladimir A. Chiginev
State Budgetary Healthcare Institution of the Nizhny Novgorod Region “Research Institute – Specialized Cardiosurgical Clinical Hospital named after academician B.A. Korolev”
PhD, Cardiovascular Surgeon at the State Budgetary Healthcare Institution of the Nizhny Novgorod Region “Research Institute – Specialized Cardiosurgical Clinical Hospital named after academician B.A. Korolev”, Nizhnу Novgorod, Russian Federation
Olga V. Krasnikova
Federal State Budgetary Educational Institution of Higher Education “Privolzhsky Research Medical University” of the Ministry of Health of the Russian Federation
PhD., Associate Professor at the Department of General Chemistry, Federal State Budgetary Educational Institution of Higher Education “Privolzhsky Research Medical University” of the Ministry of Health of the Russian Federation, Nizhny Novgorod, Russian Federation
Natalia V. Rogulina
LLC “ST Medical”
PhD., Medical Data Analyst, Cardiovascular Surgeon at the LLC “ST Medical”, Kemerovo, Russian Federation
Vladimir V. Pichugin
State Budgetary Healthcare Institution of the Nizhny Novgorod Region “Research Institute – Specialized Cardiosurgical Clinical Hospital named after academician B.A. Korolev”
PhD, Professor, Anesthesiologist-resuscitator at the State Budgetary Healthcare Institution of the Nizhny Novgorod Region “Research Institute – Specialized Cardiosurgical Clinical Hospital named after academician B.A. Korolev”, Nizhnу Novgorod, Russian Federation
Yuri D. Brichkin
State Budgetary Healthcare Institution of the Nizhny Novgorod Region “Research Institute – Specialized Cardiosurgical Clinical Hospital named after academician B.A. Korolev”
PhD, Professor, Anesthesiologist-resuscitator at the State Budgetary Healthcare Institution of the Nizhny Novgorod Region “Research Institute – Specialized Cardiosurgical Clinical Hospital named after academician B.A. Korolev”, Nizhnу Novgorod, Russian Federation
Alexander S. Gordetsov
State Budgetary Healthcare Institution of the Nizhny Novgorod Region “Research Institute – Specialized Cardiosurgical Clinical Hospital named after academician B.A. Korolev”
PhD, Professor, Head of the Department of General Chemistry, State Budgetary Healthcare Institution of the Nizhny Novgorod Region “Research Institute – Specialized Cardiosurgical Clinical Hospital named after academician B.A. Korolev”, Nizhnу Novgorod, Russian Federation
Roman A. Deryabin
State Budgetary Healthcare Institution of the Nizhny Novgorod Region “Nizhny Novgorod Regional Clinical Oncological Dispensary”
PhD., Cardiovascular Surgeon at the State Budgetary Healthcare Institution of the Nizhny Novgorod Region “Nizhny Novgorod Regional Clinical Oncological Dispensary”, Nizhny Novgorod, Russian Federation
Anastasia R. Kondratieva
Federal State Budgetary Educational Institution of Higher Education “Privolzhsky Research Medical University” of the Ministry of Health of the Russian Federation
Student at the Federal State Budgetary Educational Institution of Higher Education “Privolzhsky Research Medical University” of the Ministry of Health of the Russian Federation, Nizhny Novgorod, Russian Federation
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Supplementary files
Review
For citations:
Fedorov S.A., Medvedev A.P., Tselousova L.M., Zhurko S.A., Chiginev V.A., Krasnikova O.V., Rogulina N.V., Pichugin V.V., Brichkin Yu.D., Gordetsov A.S., Deryabin R.A., Kondratieva A.R. PULMONARY ARTERY INTIMAL SARCOMA MIMICKING PULMONARY EMBOLISM: SURGICAL TREATMENT RESULTS. Complex Issues of Cardiovascular Diseases. 2023;12(2):196-206. (In Russ.) https://doi.org/10.17802/2306-1278-2023-12-2-196-206
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