Severe paradoxical intracranial embolism and pulmonary emboli during hip hemiarthroplasty.
Both paradoxical intracranial embolism, an intracranial arterial embolism caused by venous embolic material that has passed through a right-to-left shunt, and pulmonary arterial embolism are life-threatening complications of joint arthroplasty. We report a case of severe paradoxical intracranial embolism and pulmonary embolism that occurred during hip hemiarthroplasty.
Narimatsu
E
E
Departments of Traumatology and Critical Care Medicine and Anesthesiology, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo, Hokkaido 060-8543, Japan. enarimat@sapmed.ac.jp
Kawamata
M
M
Hase
M
M
Kurimoto
Y
Y
Asai
Y
Y
Namiki
A
A
D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D019320:Embolism, Paradoxical / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D006801:Humans; D020766:Intracranial Embolism / Q000000981:diagnostic imaging / Q000209:etiology*; D007431:Intraoperative Complications; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed