Journal of Clinical Anesthesia
Volume 21, Issue 7 , Pages 533-537 , November 2009

Ongoing paradoxical particulate embolism during megaprosthesis placement

Received 24 March 2008 ,Revised 19 September 2008 ,Accepted 14 October 2008.

References 

  1. Christie J, Robinson CM, Pell AC, McBirnie J, Burnett R. Transcardiac echocardiography during invasive intramedullary procedures. J Bone Joint Surg Br. 1995;77:450–455
  2. Riding G, Daly K, Hutchinson S, Rao S, Lovell M, McCollum C. Paradoxical cerebral embolisation. An explanation for fat embolism syndrome. J Bone Joint Surg Br. 2004;86:95–98
  3. Sukernik MR, Mets B, Bennett-Guerrero E. Patent foramen ovale and its significance in the perioperative period. Anesth Analg. 2001;93:1137–1146
  4. Aslam F, Shirani J, Haque AA. Patent foramen ovale: assessment, clinical significance and therapeutic options. South Med J. 2006;99:1367–1372
  5. Price MD, Kanake P, Talmor D. Paradoxical embolus after multiple trauma resulting in a cerebrovascular accident. Anesth Analg. 2004;98:1121–1123
  6. Narimatsu E, Kawamata M, Hase M, Kurimoto Y, Asai Y, Namiki A. Severe paradoxical intracranial embolism and pulmonary emboli during hip hemiarthroplasty. Br J Anaesth. 2003;91:911–913
  7. Islam MA, Khalighi K, Goldstein JE, Raso J. Paradoxical embolism-report of a case involving four organ systems. J Emerg Med. 2000;19:31–34
  8. Mantilla CB, Horlocker TT, Schroeder DR, Berry DJ, Brown DL. Frequency of myocardial infarction, pulmonary embolism, deep venous thrombosis, and death following primary hip or knee arthroplasty. Anesthesiology. 2002;96:1140–1146
  9. Clarke NR, Timperley J, Kelion AD, Banning AP. Transthoracic echocardiography using second harmonic imaging with Valsalva manoeuvre for the detection of right to left shunts. Eur J Echocardiogr. 2004;5:176–181
  10. Zamanian RT, Haddad F, Doyle RL, Weinacker AB. Management strategies for patients with pulmonary hypertension in the intensive care unit. Crit Care Med. 2007;35:2037–2050
  11. Rubenfire M, Bayram M, Hector-Word Z. Pulmonary hypertension in the critical care setting: classification, pathophysiology, diagnosis, and management. Crit Care Clin. 2007;23:801–834
  12. Zerio C, Canterin FA, Pavan D, Nicolosi GL. 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. 1995;76:422–424
  13. Sulek CA, Davies LK, Enneking FK, Gearen PA, Lobato EB. Cerebral microembolism diagnosed by transcranial Doppler during total knee arthroplasty: correlation with transesophageal echocardiography. Anesthesiology. 1999;91:672–676
  14. Pitto RP, Koessler M, Kuehle JW. 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. 1999;81:831–843
  15. Koessler MJ, Fabiani R, Hamer H, Pitto RP. The clinical relevance of embolic events detected by transesophageal echocardiography during cemented total hip arthroplasty: a randomized clinical trial. Anesth Analg. 2001;92:49–55
  16. Krebs J, Aebli N, Goss BG, et al. Cardiovascular changes after pulmonary embolism from injecting calcium phosphate cement. J Biomed Mater Res B Appl Biomater. 2007;82:526–532
  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. 2007;120:357–362

☆ Case Conference presentations are selected and edited at the Department of Anesthesiology, University of Florida College of Medicine.

PII: S0952-8180(09)00250-5

doi: 10.1016/j.jclinane.2008.10.018

Journal of Clinical Anesthesia
Volume 21, Issue 7 , Pages 533-537 , November 2009

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