Death associated with disseminated intravascular coagulation after hip replacement.
Sudden-onset disseminated intravascular coagulation (DIC) occurred 3 h after uneventful polymethacrylate bone cement insertion for a revision left Charnley hip replacement. Profuse bleeding caused a hypovolaemic state aggravating existing myocardial ischaemia; as a result death occurred secondary to myocardial infarction 6 h after operation.
Shackleton Department of Anaesthetics, Southampton General Hospital.
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D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D004211:Disseminated Intravascular Coagulation / Q000209:etiology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D017202:Myocardial Ischemia / Q000150:complications; D011475:Prosthesis Failure; D012086:Reoperation / Q000009:adverse effects