[Role of echocardiography in surgery of pulmonary tuberculosis]

Doppler echocardiography was used to examine 26 patients aged 18 to 65 years who had undergone different surgical interventions for disseminated and acutely progressive pulmonary tuberculosis. Nineteen patients were diagnosed as having fibrocavernous pulmonary tuberculosis; 6 and 1 patients had caseous pneumonia and disseminated pulmonary tuberculosis. Echocardiography was performed with a LSC-700 echotomograph (Piker International, USA) by the routine procedure. Analyzing central hemodynamic parameters in the patients identified 3 types of hemodynamics: hypokinetic, eukinetic, and hyperkinetic, which made it possible to perform a course of cardial therapy adequately in the preoperative period. Preoperatively, 21 (80.8%) patients were found to have elevated mean pulmonary pressures and 5 patients had pulmonary pressures in the normal ranges. In the uncomplicated postoperative period, pulmonary pressures gradually decreased and reached normal values in some patients.