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J Thorac Cardiovasc Surg 2006;132:197-198
© 2006 The American Association for Thoracic Surgery

Brief Communication

Postoperative pulmonary embolism detected with multislice computed tomography in lung surgery for cancer

Giuliano Daddi, MD a , Giulia Milillo, MD b , Luciano Lupattelli, MD c , Mark Ragusa, MD a , * , Angelo Lemmi, MD c , Francesco Puma, MD d , Giancarlo Agnelli b Pulmonary Embolism in Thoracic Surgery Study Group

a Thoracic Surgery Unit, Perugia University, Perugia, Italy
b Department of Internal Medicine and Vascular Diseases, Perugia University, Perugia, Italy
c Department of Radiology, Perugia University, Perugia, Italy
d Thoracic Surgery Unit, Perugia University at Terni, Terni, Italy

Presented as a poster at "Chest 2004," Annual Meeting of the American College of Chest Physicians, Seattle, Wash, October 23-28, 2004.

* Address for reprints: Mark Ragusa, MD, S.C. Chirurgia Toracica, Università di Perugia, Ospedale Silvestrini, Via G. Dottori, 06156, Perugia, Italy. (Email: drfastnet@bigfoot.com).

The first 20% of the full text of this article appears below.

Limited information is currently available on the incidence of venous thromboembolism (VTE) in patients undergoing lung surgery for cancer. 1,2 Go Pulmonary embolism (PE) has been found to be a frequently fatal postoperative complication, as confirmed by autopsy in 15.2% of postresectional deaths. 3 Go The clinical burden of PE in surgical patients is underestimated, probably because the majority of VTE remains asymptomatic or associated with aspecific symptoms. Several factors increase the thromboembolic risk in patients undergoing lung cancer surgery: intrinsic procoagulant effect of cancer, extensive surgical intervention, dependent limb position in the operating room, and vessel injury consequent to the operation.

PE in patients undergoing thoracic surgery has some peculiarities. Indeed, in thoracic surgery, in addition to the established risk factors for VTE, local factors related to surgical technique, direct vascular injury, or both could play a remarkable role. 4 Go

The aim of this study was to assess the incidence of PE after lung surgery for cancer by using multislice computed tomographic (MSCT) scanning.

Methods

The Pulmonary Embolism . . . [Full Text of this Article]




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