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Trofimov N.A.

Republican Cardiology Dispensary

Nikolsky A.V.

Nizhny Novgorod Municipal Clinical Hospital No. 5

Egorov D.V.

Republican Cardiology Dispensary;
Ulyanov Chuvash State University

Rodionov A.L.

Republican Cardiology Dispensary

Surkova T.V.

Ulyanov Chuvash State University

Complex treatment of high-risk pulmonary embolism

Authors:

Trofimov N.A., Nikolsky A.V., Egorov D.V., Rodionov A.L., Surkova T.V.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2022;15(6): 648‑655

DOI: 10.17116/kardio202215061648

Views: 1911

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Table of contents

COMPLEX TREATMENT OF HIGH-RISK PULMONARY EMBOLISM
COMPLEX TREATMENT OF HIGH-RISK PULMONARY EMBOLISM

To cite this article:

Trofimov NA, Nikolsky AV, Egorov DV, Rodionov AL, Surkova TV. Complex treatment of high-risk pulmonary embolism. Russian Journal of Cardiology and Cardiovascular Surgery. 2022;15(6):648‑655. (In Russ.)
https://doi.org/10.17116/kardio202215061648

Подписка 2025-2 (Russian Journal of Cardiology and Cardiovascular Surgery)
 
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Among all cardiovascular diseases, pulmonary embolism (PE) is recognized as one of the most common pathologies diagnosed in 0.5—2 people per 1000 population. Among people over 75 years old, PE is diagnosed in 10 per 1000 people per year. The authors report successful combined surgical treatment of massive high-risk PE including open thrombembolectomy and radiofrequency circular denervation of pulmonary trunk and mouths of pulmonary arteries. This case of complex treatment shows its high effectiveness in reducing degree of pulmonary hypertension, right heart remodeling and signs of heart failure.

Keywords:

pulmonary embolism
pulmonary artery denervation
pulmonary hypertension

Authors:

Trofimov N.A.

Republican Cardiology Dispensary

Nikolsky A.V.

Nizhny Novgorod Municipal Clinical Hospital No. 5

Egorov D.V.

Republican Cardiology Dispensary;
Ulyanov Chuvash State University

Rodionov A.L.

Republican Cardiology Dispensary

Surkova T.V.

Ulyanov Chuvash State University

Received:

14.01.2022

Accepted:

09.03.2022

List of references:

  1. https://www.rosminzdrav.ru/ministry/61/22/stranitsa-979/statisticheskie-i-informatsionnyematerialy/statisticheskiy-sbornik-2017-god  https://www.rosminzdrav.ru/ministry/61/22/stranitsa-979/statisticheskie-i-informatsionnyematerialy/statisticheskiy-sbornik-2017 year
  2. Enginoev ST, Kozmin DYu, Magomedov GM, Makeev SA, Ilov NN, Chernov II, Tarasov DG. Comparative analysis of mini-thoracotomy and sternotomy for mitral valve disease — single-center experience. Thoracic and cardiovascular surgery. 2019;61(4):323-327. (In Russ.). https://doi.org/10.24022/0236-2791-2019-61-4-323-327
  3. Sá MPBO, Van den Eynde J, Cavalcanti LRP, Kadyraliev B, Enginoev S, Zhigalov K, et al. Mitral valve repair with minimally invasive approaches vs sternotomy: A meta-analysis of early and late results in randomized and matched observational studies. J Card Surg. 2020;35:2307-2323. https://doi.org/10.1111/jocs.14799
  4. Fedorov SA, Medvedev AP, Zhurko SA, Abdulyanov IV, Chiginev VA, Tselousova LM, Trofimov NA. Surgical treatment of pulmonary embolism after previous saphenectomy. Bulletin of Modern Clinical Medicine. 2021;14(3):50-57. (In Russ.). https://doi.org/10.20969/VSKM.2021.14(3).50-57
  5. Medvedev AP, Fedorov SA, Trofimov NA, Tselousova LM. Errors in diagnosis and treatment of pulmonary embolism. Cardiology and cardiovascular surgery. 2021;14(1): 54-59. (In Russ.). https://doi.org/10.17116/kardio20211401154
  6. Constantine A, Dimopoulos K. Pulmonary artery denervation for pulmonary arterial hypertension. Trends Cardiovasc Med. 2021;31(4):252-260.  https://doi.org/10.1016/j.tcm.2020.04.005
  7. Dzhordzhikiya RK, Vagizov II, Mukharyamov MN. Results of on-pump surgical treatment of acute pulmonary embolism. Bulletin of modern clinical medicine. 2014;7(2):59-62. (In Russ.).
  8. Trofimov NA, Medvedev AP, Nikolsky AV, Kichigin VA, Zhamlikhanova SS, Babokin VE. Denervation of pulmonary arteries in patients with mitral valve defects complicated by atrial fibrillation and pulmonary hypertension. Modern Technologies in Medicine. 2019;11(4):95-105. 
  9. Romanov A, Cherniavskiy A, Novikova N, et al. Pulmonary Artery Denervation for Patients With Residual Pulmonary Hypertension After Pulmonary Endarterectomy. J Am Coll Cardiol. 2020;76(8):916-926.  https://doi.org/10.1016/j.jacc.2020.06.064
  10. Xie Y, Liu N, Xiao Z, et al. The progress of pulmonary artery denervation. Cardiol J. 2022;29(3):381-387.  https://doi.org/10.5603/CJ.a2020.0186
  11. Bogachev-Prokofiev AV, Zheleznev SI, Afanasiev AV, et al. Pulmonary artery ganglion plexus ablation in surgical treatment of mitral valve disease in patients with high pulmonary hypertension. Circulatory pathology and cardiac surgery. 2016;19(4):19-25. (In Russ.). https://doi.org/10.21688/1681-3472-2015-4-19-25
  12. Zheleznev SI, Demidov DP, Afanasiev AV, et al. Radiofrequency denervation of the pulmonary artery in surgical treatment of dysplastic mitral valve defects with high pulmonary hypertension. Russian journal of cardiology. 2016;11(139):70-72. (In Russ.).
  13. Trofimov NA, Medvedev AP, Babokin VE, et al. Effectiveness of PADN procedure in patients with high pulmonary hypertension following mitral valve disease complicated by atrial fibrillation and impact on maintenance of sinus rhythm in postoperative period. Medical alphabet. 2018;4(37):18-24. (In Russ.).
  14. Evlakhov VI, Poyasov IZ, Ovsyannikov VI Pulmonary artery denervation in pulmonary hypertension: physiological and clinical aspects. Angiology and Vascular Surgery. 2021;27(3):16-21. (In Russ.). https://doi.org/10.33529/ANGIO2021309
  15. Babokin V, Trofimov N. Prevention of atrial fibrillation recurrence after the maze procedure. The Annals of Thoracic Surgery. 2020;109(5):1624-1625.
  16. Trofimov NA, Medvedev AP, Babokin VE, et al. Effect of high pulmonary hypertension on effectiveness of Cox Maze IV procedure in patients with mitral valve disease and atrial fibrillation. Cardiology and cardiovascular surgery. 2020;13(3):230-238. (In Russ.). https://doi.org/10.17116/kardio202013031230
  17. Babokin VE, Trofimov NA, Medvedev AP et al. Circulatory pulmonary artery denervation in patients with severe pulmonary hypertension undergoing combined mitral valve surgery and procedure Maze IV. J Cardiovasc Med Cardiol. 2020;7(2):145-150.  https://doi.org/10.17352/2455-2976.000130

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