Preview

Sechenov Medical Journal

Advanced search

Pulmonary and pleura damage in the process cardiosurgical intervention: etiology, pathogenesis, prevention (Review)

Full Text:

Abstract

Pulmonary and pleura damage are one of the most common postoperative complications. The prevalence of pulmonary dysfunction following cardiac surgery is 76%. The risk factors are: preoperative respiratory disease, body mass index over 30 kg/m2, intraoperational heart ice encasing, duration of cardiopulmonary bypass period. From a heart surgeon and pathophysiologist prospective, the paper discusses the mechanisms of lung tissue destruction and patient preparation to reduce the incidence and/severity of complications. The data analysis suggests that this factors should be accounted for when planning the operation to reduce the risk of life-threatening complications.

About the Authors

Yu. V. Belov
Federal State Scientific Institution Petrovsky Russian Scientific Center of Surgery
Russian Federation


P. F. Litvitsky
I.M. Sechenov First MSMU (Sechenov University)
Russian Federation


I. A. Vinokurov
I.M. Sechenov First MSMU (Sechenov University)
Russian Federation


References

1. Бабринская И.Г., Уклонский А.Н. Дыхательная недостаточность послеоперационного периода у торакальных больных. Вестник Кыргызско-Российского славянского университета. 2014; 5: 35-38

2. Ferguson M.K. Preoperative assessment of pulmonary risk. Chest. 1999; 115(5 Suppl): 58S-63S

3. Trouillet J.L., Luyt C.E., Guiguet M. et al. Earlypercutaneous tracheotomy versus prolonged intubation of mechanically ventilated patients after cardiac surgery: a randomized trial. Ann. Intern. Med. 2011; Mar 15; 154(6): 373-383

4. Cordeiro A.L., Melo T.A., Neves D. et al. Inspiratory muscle training and functional capacity in patients undergoing cardiac surgery. Cardiovasc. Surg. 2016; Apr; 31(2): 140-144

5. Freitas E.R., Soares B., Cardoso J.R., Atallah Á.N. Incentive spirometry for preventing pulmonary complications after coronary artery bypass graft (Review). The Cochrane Library. 2009; Iss. 1

6. Felcar J.M., Guitti J.C., Marson A.C., Cardoso J.R. Preoperative physiotherapy in prevention of pulmonary complications in pediatric cardiac surgery. Rev. Bras. Cir. Cardiovasc. 2008; 23(3): 383-388

7. Yamashiro S., Kuniyoshi Y., Arakaki K., Inafuku H., Morishima Y., Kise Y. Aortic replacement via median sternotomy with left anterolateral thoracotomy. Asian Cardiovasc. Thorac. Ann. 2009; 17: 373-377

8. Mehran R.J., Martin L.W., Baker C.M. et al. Pain management in an enhanced recovery pathway after thoracic surgical procedures. Ann. Thorac. Surg. 2016; Dec; 102(6): e595-e596

9. Muehling B.M., Halter G.L., Schelzig H., Meierhenrich R., Steffen P., Sunder-Plassmann L., Orend K. Reduction of postoperative pulmonary complications after lung surgery using a fast track clinical pathway. Eur. J. of Cardio-thoracic Surg. 2008; 34: 174-180

10. Rudra A., Das S. Postoperative pulmonary complications. Indian J. of anaesthesia. 2006; 50(2): 89-98

11. Suemitsu R., Sakoguchi T., Morikawa K., Yamaguchi M., Tanaka H., Takeo S. Effect of body mass index on perioperative complications in thoracic surgery. Asian Cardiovasc. Thorac. Ann. 2008; 16: 463-467

12. Авдеев С.Н. Плевральные выпоты в интенсивной терапии. Consilium Medicum. Приложение «Пульмонология». 2009; 1: 21-26

13. Merino-Ramirez M.A., Juan G., Ramón M. et al. Electrophysiologic evaluation of phrenic nerve and diaphragm function after coronary bypass surgery: prospective study of diabetes and other risk factors. J. Thorac. Cardiovasc. Surg. 2006; Sep; 132(3): 530-536, 536.e1-2

14. Гасанов А.Ф. Легочно-плевральные осложнения в хирургии нисходящего отдела грудной аорты. Автореферат … канд. мед. наук. М.; 2012: 24

15. Westerdahl E., Jonsson M., Emtner M. Pulmonary function and health-related quality of life 1-year follow up after cardiac surgery. J. Cardiothorac. Surg. 2016; Jul 8; 11(1): 99

16. Savas O.Z.B., Kaya E., Arslan G. et al. Pre-treatment before coronary artery bypass surgery improves post-outcomes in moderate chronic obstruction pulmonary disease patients. Cardiovasc. J. of Africa. 2013; 24(5): 184-187

17. Apostolakis E., Filos K., Koletsis E., Dougenis D. Lung dysfunction following cardiopulmonary bypass. J. Card. Surg. 2010; 25(1): 47-55

18. Massoudy P., Zahler S., Becker B.F., Braun S.L., Barankay A., Meisner H. Evidence for inflammatory responses of the lungs during coronary artery bypass grafting with cardiopulmonary bypass. Chest. 2001; 119: 31-36

19. Roth-Isigkeit A., Hasselbach L., Ocklitz E. et al. Inter-individual differences in cytokine release in patients undergoing cardiac surgery with cardiopulmonary bypass. Clin. Exp. Immunol. 2001; 125: 80-88. Conti V.R. Pulmonary injury after cardiopulmonary bypass. Chest. 2001; 119: 2-4

20. Gu Y.J., de Vries A.J., Vos P., Boonstra P.W., van Oeveren W. Leukocyte depletion during cardiac operation: a new approach through the venous bypass circuit. Ann. Thorac. Surg. 1999; 67: 604-609

21. Goldman M., Webert K.E., Arnold D.M., Freedman J., Hannon J., Blajchman M.A. Proceedings of a consensus conference: towards an understanding of TRALI. Transfus. Med. Rev. 2005; 19(1): 2-31

22. Stainsby D., Jones H., Asher D. et al. Serious hazards of transfusion: a decade of hemovigilance in the UK. Transfus. Med. Rev. 2006; 20(4): 273-282

23. Bux J., Sachs U.J. The pathogenesis of transfusion-related acute lung injury (TRALI). Br. J. Haematol. 2007; 136(6): 788-799

24. Vlaar A.P., Porcelijn L., Van Rooijen Schreurs I., Lardy N.M., Kersten M.J., Juffermans N.P. The divergent clinical presentations of transfusion-related acute lung injury illustrated by two case reports. Med. Sci. Monit. 2010; 16(10): CS129-CS134

25. Kumar R., Sedky M.J., Varghese S.J. et al. Transfusion related acute lung injury (TRALI): A single institution experience of 15 years. Indian J. Hematol. Blood Transfus. 2016; Sep; 32(3): 320-327

26. Asimakopoulos G., Smith P.L.C., Ratnatunga C.P., Taylor K.M. Lung injury and acute respiratory distress syndrome after cardiopulmonary bypass. Ann. Thorac. Surg. 1999; 68: 1107-1115

27. Lohser J., Slinger P. Lung injury after one-lung ventilation: A review of the pathophysiologic mechanisms affecting the ventilated and the collapsed lung. Anesth. Analg. 2015; Aug; 121(2): 302-318

28. Akbariasbagh P., Mirzaghayan M.R., Akbariasbagh N. et al. Risk ractors for post-cardiac surgery diaphragmatic paralysis in children with congenital heart disease. J. Tehran. Heart. Cent. 2015; Jul 3; 10(3): 134-139

29. Bougioukas I., Didilis V., Emigholz J. et al. The effect of amifostine on lung ischaemia-reperfusion injury in rats. Interact. Cardiovasc. Thorac. Surg. 2016; Aug; 23(2): 273-279

30. Matata B., Galinanes M. Peroxynitrite is an essential component of cytokines production mechanism in human monocytes through modulation of nuclear factor-kappa B DNA binding activity. J. Biol. Chem. 2002; 277: 2330-2335

31. Perrot M., Liu M., Waddell T., Keshavjee S. Ischemia-reperfusion-induced lung injury. Am. J. Respir. Crit. Care. Med. 2003; 167: 490-511

32. Fisher A.B. Reactive oxygen species and cell signaling with lung ischemia. Undersea Hyperb. Med. 2004; Spring; 31(1): 97-103

33. Colombat M., Castier Y., Leseche G., Rufat P., Mal H., Thabut G. et al. Early expression of adhesion molecules after lung transplantation: evidence for a role of aggregated P-selectin-positive platelets in human primary graft failure. J. Heart. Lung. Transplant. 2004; 23(9): 1087-1092

34. Cadenas E. Mitochondrial free radical production and cell signaling. Mol. Aspects. Med. 2004; 25(1-2): 17-26

35. Kadenbach B. Intrinsic and extrinsic uncoupling of oxidative phosphorylation. Biochim. Biophys. Acta. 2003; Jun 5; 1604(2): 77-94

36. Landmesser U., Dikalov S., Price S.R., McCann L., Fukai T., Holland S.M., Mitch W.E., Harrison D.G. Oxidation of tetrahydrobiopterin leads to uncoupling of endothelial cell nitric oxide synthase in hypertension. J. Clin. Invest. 2003; 111(8): 1201-1209

37. Esme H., Fidan H., Koken T., Solak O. Effect of lung ischemia-reperfusion on oxidative stress parameters of remote tissues. Eur. J. Cardiothorac. Surg. 2006; 29(3): 294-298

38. Murphy M.P., Holmgren A., Larsson N.G., Halliwell B., Chang C.J., Kalyanaraman B. et al. Unraveling the biological roles of reactive oxygen species. Cell. Metab. 2011; 13: 361-366

39. Du S., Ai J., Zeng X., Wan J. et al. Plasma level of advanced oxidation protein products as a novel biomarker of acute lung injury followingcardiac surgery. Springerplus. 2016; Feb 29; 5: 231

40. Gothard J. Lung injury after thoracic surgery and one-lung ventilation. Curr. Opin. Anaesthesiol. 2006; 19(1): 5-10

41. Zhang X., Gao F., Yan Y. et al. Combination therapy with human umbilical cord mesenchymal stem cells and angiotensin-converting enzyme 2 is superior for the treatment of acute lung ischemia-reperfusion injury in rats. Cell Biochem. Funct. 2015; Apr; 33(3): 113-120

42. Den Hengst W., Gielis J., Lin J., Van Schil P., De Windt L., Moens A. Lung ischaemia-reperfusion injury: a molecular and clinical view on a complex pathophysiological process. Am. J. Physiol. Circ. Physiol. 2010; 299: H1283-1299

43. Bougioukas I., Didilis V., Emigholz J. et al. The effect of amifostine on lung ischaemia-reperfusion injury in rats. Interact. Cardiovasc. Thorac. Surg. 2016; Aug; 23(2): 273-279

44. Roberts A.M., Ovechkin A.V., Mowbray J.G., Robinson T.W., Lominadze D. Effects of pulmonary ischemia-reperfusion on platelet adhesion in subpleural arterioles in rabbits. Microvasc. Res. 2004; 67(1): 29-37


Review

Views: 215


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2218-7332 (Print)
ISSN 2658-3348 (Online)