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  2. Keyword: Pleural Effusion
Figure 1
ABC
Research Letter

A Rare Presentation of COVID-19 with Pulmonary Embolism

Özgenur Günçkan et al. Önder Öztürk Veysel Atilla Ayyıldız Volkan Bağlan … Münire Çakır Ahmet Akkaya

Abstract

Coronavirus disease 2019 (COVID-19) has been reported in almost every country in the world since December 2019. Infection with SARS-CoV-2 is often asymptomatic or with mild symptoms, but it may also lead to hypoxia, a hyperinflammatory state, and coagulopathy. The abnormal coagulation parameters are associated with thrombotic complications, including pulmonary embolism in COVID-19, but little is known about the mechanisms. The similarity of initial symptoms of both diseases can also be confusing, therefore the physicians should be aware of the potential for concurrent conditions. Herein, we present a case who did not have ground-glass opacities in the lungs, yet presented with pulmonary embolism and pleural effusions in association with COVID-19 infection.

  • COVID-19
  • Pleural Effusion
  • Pulmonary embolism
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Creative Commons Attribution (CC BY) Creative Commons license
07/03/2022 DOI: 10.36660/abc.20210350
Figure 1
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Case Report

A Life-threatening Combination: Indomethacin and Dabigatran

Adem Adar et al. Orhan Onalan Fahri Cakan

Introduction

Although rare, several bleeding complications may occur in patients receiving dabigatran. The risk of bleeding is particularly high in patients with impaired kidney functions or in patients who are on concomitant nephrotoxic drugs. We report a case of massive pleuropericardial effusion developed after the initiation of indomethacin treatment in a patient who was receiving dabigatran for deep venous thrombosis.

[…]

  • Cardiomegaly
  • Dabigatran/administration & dosage
  • Echocardiography
  • Indomenthacin/administration & dosage
  • Pleural Effusion
  • Renal Insufficiency
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Creative Commons Attribution (CC BY) Creative Commons license
18/05/2020 DOI: 10.36660/abc.20180159 Views 1
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Anatomopathological Session

Case 6/2017 – A 28-Year-Old Man with Anasarca And Restrictive Heart Disease

Desiderio Favarato et al. Luis Alberto Benvenuti

Clinical aspects

The patient was a 28-year-old male with anasarca. There were moderate left systolic dysfunction and marked enlargement of the atria and right ventricle, with mild increase in pulmonary arterial pressure and moderate regurgitation of the atrioventricular valves.

Apparently diastolic dysfunction and dilatation of the ventricles and systolic dysfunction of the right ventricle predominated, indicating a restrictive heart disease.

[…]

  • Cardiomyopathy, Restrictive
  • Edema
  • Heart Diseases
  • Heart Failure
  • Pleural Diseases
  • Pleural Effusion
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Creative Commons Attribution (CC BY) Creative Commons license
01/12/2017 DOI: 10.5935/abc.20170184 Views 1
ABC
Artigo Original

Incidence of pulmonary complications in myocardial revascularization

Leila D. N Ortiz et al. Camila W Schaan Camila P Leguisamo Katiane Tremarin … Waldo L. L. D Mattos Renato A. K Kalil Lucia C Pellanda

BACKGROUND: Despite the increasingly careful attempts to reduce perioperative risks, pulmonary complications following surgery are still very common, leading to longer length of hospital stays or death. OBJECTIVE: To describe the incidence of pulmonary complications and identify their association with duration of extracorporeal circulation (ECC), surgery and ischemia, number of bypass grafts performed, location of drains and length of drainage following myocardial revascularization (MRV). METHODS: This contemporaneous cohort consisted of 202 patients undergoing elective myocardial revascularization (MRV) with saphenous vein graft and internal mammary artery graft and ECC, at a referral university cardiology hospital in Southern Brazil, from April 2006 to November 2007. The following outcomes were analyzed: duration of mechanical ventilation; pneumonia onset; atelectasis; pleural effusion; location of drains and time of removal; and length of hospital stay. RESULTS: Of the 202 patients, 90 developed some sort of pulmonary complication. The incidence of pleural effusion was 84%, whereas atelectasis was 65%. The following variables were associated with pulmonary complications: duration of ECC (p = 0.003), surgery (p = 0.040) and ischemia (p = 0.001); length of drainage (p = 0.050) and location of pleural drains (p = 0.033); age (p = 0.001); ejection fraction (p = 0.010); diagnosis of asthma (p = 0.047) and preoperative abnormal chest X-ray findings (p = 0.029). CONCLUSION: Variables related to the complexity of the surgery and preexisting comorbidities are associated with a high incidence of postoperative pulmonary complications. These data reinforce the importance of having patients undergo perioperative clinical assessment to detect early respiratory complications after MRV.

  • Myocardial Revascularization
  • Perioperative Care
  • Pleural Effusion
  • postoperative complications
  • Thoracic Surgery
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27/08/2010 DOI: 10.1590/S0066-782X2010005000115

How to cite this article

EndNote RIS

Electronic Document Format (Vancouver)

Günçkan , Öztürk , Ayyıldız VA, Bağlan V, Çakır M, Akkaya A. A Rare Presentation of COVID-19 with Pulmonary Embolism. Arquivos Brasileiros de Cardiologia 2022;118(2):525-9.

Electronic Document Format (ABNT)

Günçkan, Özgenur; Öztürk, Önder; Ayyıldız, Veysel Atilla; Bağlan, Volkan; Çakır, Münire; Akkaya, Ahmet. A Rare Presentation of COVID-19 with Pulmonary Embolism. Arquivos Brasileiros de Cardiologia, v. 118, n. 2, p. 525-529, Mar. 2022.

Electronic Document Format (APA)

Günçkan, , Öztürk, , Ayyıldız, V. A., Bağlan, V., Çakır, M., & Akkaya, A. (2022). A Rare Presentation of COVID-19 with Pulmonary Embolism. Arquivos Brasileiros de Cardiologia, 118(2), 525-529.

Electronic Document Format (ISO)

Günçkan, Özgenur and Öztürk, Önder and Ayyıldız, Veysel Atilla and Bağlan, Volkan and Çakır, Münire and Akkaya, Ahmet. A Rare Presentation of COVID-19 with Pulmonary Embolism. Arquivos Brasileiros de Cardiologia [online]. 2022, vol. 118, n. 2, [cited 2026-10-14], pp. 525-529. Available from: <https://journals.cardiol.br/en/article/a-rare-presentation-of-covid-19-with-pulmonary-embolism/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Adar A, Onalan O, Cakan F. A Life-threatening Combination: Indomethacin and Dabigatran. Arquivos Brasileiros de Cardiologia 2020;114(4 suppl 1):13-5.

Electronic Document Format (ABNT)

Adar, Adem; Onalan, Orhan; Cakan, Fahri. A Life-threatening Combination: Indomethacin and Dabigatran. Arquivos Brasileiros de Cardiologia, v. 114, n. 4 suppl 1, p. 13-15, May. 2020.

Electronic Document Format (APA)

Adar, A., Onalan, O., & Cakan, F. (2020). A Life-threatening Combination: Indomethacin and Dabigatran. Arquivos Brasileiros de Cardiologia, 114(4 suppl 1), 13-15.

Electronic Document Format (ISO)

Adar, Adem and Onalan, Orhan and Cakan, Fahri. A Life-threatening Combination: Indomethacin and Dabigatran. Arquivos Brasileiros de Cardiologia [online]. 2020, vol. 114, n. 4 suppl 1, [cited 2026-10-14], pp. 13-15. Available from: <https://journals.cardiol.br/en/article/a-life-threatening-combination-indomethacin-and-dabigatran/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Favarato D, Benvenuti LA. Case 6/2017 – A 28-Year-Old Man with Anasarca And Restrictive Heart Disease. Arquivos Brasileiros de Cardiologia 2017;109(6):609-14.

Electronic Document Format (ABNT)

Favarato, Desiderio; Benvenuti, Luis Alberto. Case 6/2017 – A 28-Year-Old Man with Anasarca And Restrictive Heart Disease. Arquivos Brasileiros de Cardiologia, v. 109, n. 6, p. 609-614, Nov. 2017.

Electronic Document Format (APA)

Favarato, D., & Benvenuti, L. A. (2017). Case 6/2017 – A 28-Year-Old Man with Anasarca And Restrictive Heart Disease. Arquivos Brasileiros de Cardiologia, 109(6), 609-614.

Electronic Document Format (ISO)

Favarato, Desiderio and Benvenuti, Luis Alberto. Case 6/2017 – A 28-Year-Old Man with Anasarca And Restrictive Heart Disease. Arquivos Brasileiros de Cardiologia [online]. 2017, vol. 109, n. 6, [cited 2026-10-14], pp. 609-614. Available from: <https://journals.cardiol.br/en/article/case-6-2017-a-28-year-old-man-with-anasarca-and-restrictive-heart-disease/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Ortiz LDN, Schaan CW, Leguisamo CP, Tremarin K, Mattos WLLD, Kalil RAK, Pellanda LC, et al. Incidence of pulmonary complications in myocardial revascularization. Arquivos Brasileiros de Cardiologia 2010;95(4):441-7.

Electronic Document Format (ABNT)

Ortiz, Leila D. N; Schaan, Camila W; Leguisamo, Camila P; Tremarin, Katiane; Mattos, Waldo L. L. D; Kalil, Renato A. K; Pellanda, Lucia C. Incidence of pulmonary complications in myocardial revascularization. Arquivos Brasileiros de Cardiologia, v. 95, n. 4, p. 441-447, Aug. 2010.

Electronic Document Format (APA)

Ortiz, L. D. N., Schaan, C. W., Leguisamo, C. P., Tremarin, K., Mattos, W. L. L. D., Kalil, R. A. K., & Pellanda, L. C. (2010). Incidence of pulmonary complications in myocardial revascularization. Arquivos Brasileiros de Cardiologia, 95(4), 441-447.

Electronic Document Format (ISO)

Ortiz, Leila D. N and Schaan, Camila W and Leguisamo, Camila P and Tremarin, Katiane and Mattos, Waldo L. L. D and Kalil, Renato A. K and Pellanda, Lucia C. Incidence of pulmonary complications in myocardial revascularization. Arquivos Brasileiros de Cardiologia [online]. 2010, vol. 95, n. 4, [cited 2026-10-14], pp. 441-447. Available from: <https://journals.cardiol.br/en/article/incidence-of-pulmonary-complications-in-myocardial-revascularization/>. ISSN 0066-782X

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