Lung lever after COVID-19: clinical-X-ray, surgical and morphological characteristics

DOI: https://doi.org/10.32902/2663-0338-2022-1-7-15

Abstract

MATERIALS AND METHODS. Preliminary clinical and morphological analysis of a group of patients with various post-COVID complications and with surgical treatment was performed. For the period 2020-2021 in the clinic of thoracic surgery of the SI “National institute of phthisiology and pulmonology named after F.G. Yanovsky of the NAMS of Ukraine” 12 patients were treated who had coronavirus disease (COVID-19) in anamnesis and underwent surgery for COVID-19 complications.

RESULTS AND DISCUSSION. Data on the type of surgery, X-ray conclusion and preliminary clinical diagnoses of patients with post-COVID pulmonary complications are presented. At the time of surgical treatment, according to clinical data, 4 (22.2 %) patients were diagnosed with lung abscess, 4 (22.2 %) patients had a disseminated process in the lungs of unclear origin, 2 (11.0 %) – a solitary formation of the lung, one (5.5 %, respectively) observation – spontaneous pneumothorax and suspected tumor of the lung. The results of the histopathological conclusion on the operative material and the final clinical diagnosis in the group of patients with atypical lung lesions after COVID-19 are presented. The results of histopathological examination showed that after 3 months and more after recovery from COVID-19 in some patients there are persistent pathological changes in lung tissue of various characters, and quantitatively among them prevail cases of various pathologies associated with damage to the vascular bed of the lungs.

CONCLUSIONS. In most cases of pulmonary complications after suffering COVID-19, preliminary clinical diagnoses did not fully correspond to the identified pathological process. Morphological examination of the operative material of patients with a history of COVID-19 and postcocious complications associated with the lungs, found that vascular pulmonary pathology predominates: persistent microvasculitis of small blood vessels, pulmonary infarction, metacarpal metaplasia, secondary vascular malformation.

Keywords: post-COVID pulmonary complications, diagnosis, surgical treatment, pathomorphology

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Published
2022-05-16
How to Cite
Feshchenko, Y., OpanasenkoМ., Liskina, I., Bilokon, S., Tereshkovych, O., Konik, B., Levanda, L., Zagaba, L., Shamray, M., Kalenychenko, M., Lysenko, V., & Shalagay, S. (2022). Lung lever after COVID-19: clinical-X-ray, surgical and morphological characteristics. Infusion & Chemotherapy, (1), 7-15. https://doi.org/10.32902/2663-0338-2022-1-7-15
Issue
No. 1 (2022): INFUSION & CHEMOTHERAPY
Section
ORIGINAL STUDIES

Author Biographies

Yu.I. Feshchenko, SI “National institute of phthisiology and pulmonology named after F.G. Yanovsky of the NAMS of Ukraine”, Kyiv, Ukraine

Feshchenko Yurii Ivanovych
Director
Academician of the NAMS of Ukraine, MD, professor.
10, M. Amosova st., Kyiv, 03038, Ukraine.

М.S. Opanasenko, SI “National institute of phthisiology and pulmonology named after F.G. Yanovsky of the NAMS of Ukraine”, Kyiv, Ukraine

Opanasenko Mykola Stepanovych
Head of the department of thoracic surgery and invasive diagnostic methods
MD, professor.
10, M. Amosova st., Kyiv, 03038, Ukraine.

I.V. Liskina, SI “National institute of phthisiology and pulmonology named after F.G. Yanovsky of the NAMS of Ukraine”, Kyiv, Ukraine

Liskina Iryna Valentynivna
Senior researcher, head of the laboratory of pathomorphology
MD.
10, M. Amosova st., Kyiv, 03038, Ukraine.

S.M. Bilokon, SI “National institute of phthisiology and pulmonology named after F.G. Yanovsky of the NAMS of Ukraine”, Kyiv, Ukraine

Bilokon Sergii Mykolaiovych
Surgeon of the department of surgical treatment of tuberculosis and non-specific lung diseases complicated by purulent-septic infections
10, M. Amosova st., Kyiv, 03038, Ukraine.

O.V. Tereshkovych, SI “National institute of phthisiology and pulmonology named after F.G. Yanovsky of the NAMS of Ukraine”, Kyiv, Ukraine

Tereshkovych Oleksandr Volodymyrovych
Department of thoracic surgery and invasive methods of diagnostics
MD.
10, M. Amosova st., Kyiv, 03038, Ukraine.

B.М. Konik, SI “National institute of phthisiology and pulmonology named after F.G. Yanovsky of the NAMS of Ukraine”, Kyiv, Ukraine

Konik Bohdan Mykolaiovych
Head of the department of surgical treatment of tuberculosis and non-specific diseases of the lungs complicated by purulent-septic infections
PhD.
10, M. Amosova st., Kyiv, 03038, Ukraine.

L.I. Levanda, SI “National institute of phthisiology and pulmonology named after F.G. Yanovsky of the NAMS of Ukraine”, Kyiv, Ukraine

Levanda Larysa Ivanivna
Head of the department of anesthesiology
10, M. Amosova st., Kyiv, 03038, Ukraine.

L.M. Zagaba, SI “National institute of phthisiology and pulmonology named after F.G. Yanovsky of the NAMS of Ukraine”, Kyiv, Ukraine

Zagaba Liudmyla Mykhailivna
Researcher of the laboratory of pathomorphology
PhD.
10, M. Amosova st., Kyiv, 03038, Ukraine.

M.Yu. Shamray, SI “National institute of phthisiology and pulmonology named after F.G. Yanovsky of the NAMS of Ukraine”, Kyiv, Ukraine

Shamray Maksym Yuriiovych
Anesthetist of the department of anesthesiology
10, M. Amosova st., Kyiv, 03038, Ukraine.

M.I. Kalenychenko, SI “National institute of phthisiology and pulmonology named after F.G. Yanovsky of the NAMS of Ukraine”, Kyiv, Ukraine

Kalenychenko Maksym Ivanovych
Researcher of the department of thoracic surgery and invasive diagnostic methods
PhD.
10, M. Amosova st., Kyiv, 03038, Ukraine.

V.I. Lysenko, SI “National institute of phthisiology and pulmonology named after F.G. Yanovsky of the NAMS of Ukraine”, Kyiv, Ukraine

Lysenko Volodymyr Ihorovych
Junior researcher of the department of thoracic surgery and invasive diagnostic
methods
10, M. Amosova st., Kyiv, 03038, Ukraine.

S.М. Shalagay, SI “National institute of phthisiology and pulmonology named after F.G. Yanovsky of the NAMS of Ukraine”, Kyiv, Ukraine

Shalagaу Sergii Mykhailovych
Researcher of the department of thoracic surgery and invasive diagnostic methods
PhD.
10, M. Amosova st., Kyiv, 03038, Ukraine.

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