Fatal cerebral emboli in the absence of a cardiac arterial-venous shunt: case report.
Cerebral embolism in patients undergoing total joint arthroplasty has an incidence rate of 0.5%. In those cases where cerebral emboli were confirmed, a venous-to-arterial circulation shunt, most commonly a patent foramen ovale, was identified. We report a case of severe cerebral fat emboli during cementless total hip arthroplasty in the absence of an intracardiac defect.
Ammon
Jennifer Tucker
JT
Department of Orthopaedic Surgery, University of Louisville, Louisville, Kentucky, USA.
Khalily
Cyna
C
Lester
D Kevin
DK
D000328:Adult; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D017809:Fatal Outcome; D005265:Femoral Neck Fractures / Q000601:surgery; D006801:Humans; D020766:Intracranial Embolism / Q000175:diagnosis / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D012086:Reoperation