Ongoing paradoxical particulate embolism during megaprosthesis placement

Journal of Clinical Anesthesia

Volumn 21, Issue 7, 2009, Pages 533-537

  Laudanski, Krzysztof ^a   Patel, Samir P ^a   Peng, Yong G ^b  

^a UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE   (United States)

^b NONE

Author keywords

Femoral megaprosthesis; Paradoxical embolism; Patent foramen ovale; Pulmonary embolism; Transesophageal echocardiography

Indexed keywords

FENTANYL; FRESH FROZEN PLASMA; ISOFLURANE; PHENYLEPHRINE; VECURONIUM;

ADULT; ARTERIAL OXYGEN TENSION; ARTICLE; BONE METASTASIS; CASE REPORT; CRYSTALLOID; EPIDURAL CATHETER; ERYTHROCYTE CONCENTRATE; FEMALE; FEMUR INTERTROCHANTERIC FRACTURE; HEART LEFT ATRIUM; HEART LEFT VENTRICLE; HEART RIGHT ATRIUM; HEART RIGHT VENTRICLE; HEMODYNAMIC MONITORING; HUMAN; HYPOTENSION; HYPOXEMIA; PARADOXICAL EMBOLISM; PARTICULATE MATTER; PRIORITY JOURNAL; PROSTHESIS FIXATION; TRANSESOPHAGEAL ECHOCARDIOGRAPHY;

ADENOCARCINOMA; ADULT; ARTHROPLASTY, REPLACEMENT, HIP; BONE CEMENTS; BONE NEOPLASMS; ECHOCARDIOGRAPHY, TRANSESOPHAGEAL; FEMALE; FEMUR; HEMODYNAMICS; HIP FRACTURES; HUMANS; OXYGEN; PARTICULATE MATTER; POSTOPERATIVE COMPLICATIONS; PROSTHESIS IMPLANTATION; PULMONARY EMBOLISM;

EID: 71649110032     PISSN: 09528180     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jclinane.2008.10.018     Document Type: Article

References (17)

1. Christie J., Robinson C.M., Pell A.C., McBirnie J., and Burnett R. Transcardiac echocardiography during invasive intramedullary procedures. J Bone Joint Surg Br 77 (1995) 450-455
2. Riding G., Daly K., Hutchinson S., Rao S., Lovell M., and McCollum C. Paradoxical cerebral embolisation. An explanation for fat embolism syndrome. J Bone Joint Surg Br 86 (2004) 95-98
3. Sukernik M.R., Mets B., and Bennett-Guerrero E. Patent foramen ovale and its significance in the perioperative period. Anesth Analg 93 (2001) 1137-1146
4. Aslam F., Shirani J., and Haque A.A. Patent foramen ovale: assessment, clinical significance and therapeutic options. South Med J 99 (2006) 1367-1372
5. Price M.D., Kanake P., and Talmor D. Paradoxical embolus after multiple trauma resulting in a cerebrovascular accident. Anesth Analg 98 (2004) 1121-1123
6. Narimatsu E., Kawamata M., Hase M., Kurimoto Y., Asai Y., and Namiki A. Severe paradoxical intracranial embolism and pulmonary emboli during hip hemiarthroplasty. Br J Anaesth 91 (2003) 911-913
7. Islam M.A., Khalighi K., Goldstein J.E., and Raso J. Paradoxical embolism-report of a case involving four organ systems. J Emerg Med 19 (2000) 31-34
8. Mantilla C.B., Horlocker T.T., Schroeder D.R., Berry D.J., and Brown D.L. Frequency of myocardial infarction, pulmonary embolism, deep venous thrombosis, and death following primary hip or knee arthroplasty. Anesthesiology 96 (2002) 1140-1146
9. Clarke N.R., Timperley J., Kelion A.D., and Banning A.P. Transthoracic echocardiography using second harmonic imaging with Valsalva manoeuvre for the detection of right to left shunts. Eur J Echocardiogr 5 (2004) 176-181
10. Zamanian R.T., Haddad F., Doyle R.L., and Weinacker A.B. Management strategies for patients with pulmonary hypertension in the intensive care unit. Crit Care Med 35 (2007) 2037-2050
11. Rubenfire M., Bayram M., and Hector-Word Z. Pulmonary hypertension in the critical care setting: classification, pathophysiology, diagnosis, and management. Crit Care Clin 23 (2007) 801-834
12. Zerio C., Canterin F.A., Pavan D., and Nicolosi G.L. Spontaneous closure of a patent foramen ovale and disappearance of impending paradoxical embolism after fibrinolytic therapy in the course of massive pulmonary embolism. Am J Cardiol 76 (1995) 422-424
13. Sulek C.A., Davies L.K., Enneking F.K., Gearen P.A., and Lobato E.B. Cerebral microembolism diagnosed by transcranial Doppler during total knee arthroplasty: correlation with transesophageal echocardiography. Anesthesiology 91 (1999) 672-676
14. Pitto R.P., Koessler M., and Kuehle J.W. Comparison of fixation of the femoral component without cement and fixation with use of a bone-vacuum cementing technique for the prevention of fat embolism during total hip arthroplasty. A prospective, randomized clinical trial. J Bone Joint Surg Am 81 (1999) 831-843
15. Koessler M.J., Fabiani R., Hamer H., and Pitto R.P. The clinical relevance of embolic events detected by transesophageal echocardiography during cemented total hip arthroplasty: a randomized clinical trial. Anesth Analg 92 (2001) 49-55
16. Krebs J., Aebli N., Goss B.G., et al. Cardiovascular changes after pulmonary embolism from injecting calcium phosphate cement. J Biomed Mater Res B Appl Biomater 82 (2007) 526-532
17. Giardini A., Donti A., Formigari R., et al. Spontaneous large right to left shunt and migraine headache with aura are risk factors for recurrent stroke in patients with a patent foramen ovale. Int J Cardiol 120 (2007) 357-362