title: [The diagnosis and treatment of acute pulmonary circulatory disorders after resection for tuberculosis].
abstract: The authors analyzed postoperative complications after 4174 pulmonectomies for tuberculosis in the period of 1982-2004. The verified cases of acute venous circulatory disorders in the remnants of the lung after partial resections were observed in 12 (0.3%) patients. The main causes of hemorrhagic infarct of the part of the lung were erroneous ligation of the vein or its rupture; thrombosis of the venous trunk; partial removal of a pulmonary portion with devascularized tissue left; extensive intrapulmonary hematomas. In case of acute circulatory disorder developed in the resected lung, mortality may amount to as high as 58% due to secondary complications (sepsis in the presence of generalized gangrene and lung tissue decay, purulent pleurisy with bronchopleurothoracic fistulas, arrosion profuse hemorrhage). The above complication is a rare, but extremely severe iatrogenic abnormality largely associated with shortcomings of surgical techniques.
authors.forename: M E
authors.initials: ME
authors.lastname: Kobak
authors.forename: Iu V
authors.initials: IuV
authors.lastname: Kirillov
authors.forename: T S
authors.initials: TS
authors.lastname: Basek
authors.forename: E A
authors.initials: EA
authors.lastname: Popova
authors.forename: K N
authors.initials: KN
authors.lastname: Pesikin
mesh_terms: D000328:Adult; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008168:Lung / Q000098:blood supply* / Q000503:physiopathology*; D008297:Male; D009169:Mycobacterium tuberculosis; D011183:Postoperative Complications; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery*; D014689:Venous Insufficiency / Q000209:etiology* / Q000503:physiopathology*