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Fatal cerebral emboli in the absence of a cardiac arterial-venous shunt: case report.

AbstractCerebral 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.
AuthorsJennifer Tucker Ammon, Cyna Khalily, D Kevin Lester (Affiliation: Department of Orthopaedic Surgery, University of Louisville, Louisville, Kentucky, USA.)
JournalThe Journal of arthroplasty (J Arthroplasty) Vol. 22 Issue 3 Pg. 477-9 (Apr 2007) ISSN: 0883-5403 United States
PMID17400108 (Publication Type: Case Reports, Journal Article)
Topics
  • Adult
  • Arthroplasty, Replacement, Hip (adverse effects)
  • Fatal Outcome
  • Femoral Neck Fractures (surgery)
  • Humans
  • Intracranial Embolism (diagnosis, etiology)
  • Magnetic Resonance Imaging
  • Male
  • Reoperation