title: Fatal cerebral emboli in the absence of a cardiac arterial-venous shunt: case report.
abstract: 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.
authors.affiliation: Department of Orthopaedic Surgery, University of Louisville, Louisville, Kentucky, USA.
authors.forename: Jennifer Tucker
authors.initials: JT
authors.lastname: Ammon
authors.forename: Cyna
authors.initials: C
authors.lastname: Khalily
authors.forename: D Kevin
authors.initials: DK
authors.lastname: Lester
mesh_terms: 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