Tromboembolismo Pulmonar Após Artroplastia Total do Joelho de Revisão: Relato de Dois Casos
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Resumo
Duas pacientes do sexo feminino (74 e 80 anos) foram submetidas à cirurgia de artroplastia total do joelho de revisão devido a afrouxamento asséptico. A paciente 1 era obesa, enquanto a paciente 2 apresentava histórico de cirurgia abdominal, doença cerebrovascular e doença autoimune. Ambas faziam uso de medicação antidepressiva. O ácido tranexâmico intravenoso foi administrado de acordo com o protocolo institucional. A mobilização do joelho e a enoxaparina em dose profilática foram iniciadas no primeiro dia pós-operatório. Ambas as pacientes apresentaram tromboembolismo pulmonar nos primeiros 30 dias após a cirurgia. Fatores de risco individuais predispõem ao tromboembolismo pulmonar, enquanto a via de administração do ácido tranexâmico não parece ser responsável pelo aumento do risco.
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