Surgery performed |
Retromuscular augmentation mastopexy (dual plane) and abdominoplasty |
Retro augmentation mammoplasty Muscular (dual plane) |
Retro Muscular Augmentation Mammoplasty (dual plane) |
Date surgery |
19/12/2013 |
16/02/2016 |
Day 09/8/2017 |
Site of surgery |
Hospital Metropolitano de Sarndi (PR) - Private |
Hospital do Câncer - Maringá (PR) - Private |
Hospital do Câncer - Maringá (PR) - Private |
Duration of surgery |
Five hours and 30 minutes. |
1h20 min |
1 hour |
Type and Duration of anesthesia |
Epidural and General 6h30min h |
General 1 h 50 min. |
General 1 h 30 min. |
Use of BCP |
Suspended for 1 month pre-Operative and after surgery |
Suspended only after Surgery |
Didn't use |
Chemo prophylaxis |
Made heparin intraoperatively and maintained for 4 days postoperatively |
not performed |
not performed |
Venous puncture site |
RIGHT upper member |
RIGHT upper member |
LEFT upper limb |
Ultrasound of upper limbs |
thrombophlebitis of basilica and brachial veins BILATERALLY |
left basilica thrombophlebitis at elbow level |
presence of imaging suggestive of occlusive thrombotic residues in the median vein of the right elbow |
Ultrasound of lower limbs |
absence of thrombi in deep and superficial vessels |
absence of lesions in superficial and deep veins |
absence of lesions in superficial and deep veins |
D-dmin *ref. positive = or > 500 ng/ml) *FEU equivalent fibrinogenic units) |
2110.00 ng/ml |
810.0 ng/ml |
4110 ng/ml |
Pulmonary tomography |
Signs of pulmonary thromboembolism in the distal third of the left pulmonary artery. Possible small clots embolizing the posterior segment of the lower lobe to the right |
Discrete bilateral basal opacities, which may correspond to the opacity of decubitus |
SIGNS of PTE in the right lower lobe posterior segment |
Pulmonary scintigraphy |
Not performed |
Presence of focal areas, with decreased blood perfusion, of a subsegmental pattern dispersed in the posterior segment of the right upper lobe, superior of the right lower lobe, lateral of the middle lobe and lateral of the left lower lobe, of a subsegmentary pattern, disagreeing with the inhalation pattern. High probability of pulmonary thromboembolism. |
Not performed |
2. Presence of focal areas of radiotracer hypocaptation located in the most basal portions of the right lung, suggesting a parenchymal process (atelectasis?) |
Investigation for thrombophilia |
Negative |
POSITIVE, diagnosed with antiphospholipid antibody syndrome (point mutation C677T: Heterozygous mutated), IgM Cardiolipin antibodies 64.0 MPL-U and after 6 months 57.0 MPL-U (Positive higher than 40) |
Negative |
Other exams |
|
Normal echocardiogram |
|