Volume 2014, Issue 1 140757
Case Report
Open Access

Paradoxical Cerebral Fat Embolism in Revision Hip Surgery

Nicolás S. Piuzzi

Corresponding Author

Nicolás S. Piuzzi

Hip Surgery Unit “Sir John Charnley”, Institute of Orthopaedics “Carlos E. Ottolenghi”, Italian Hospital of Buenos Aires, Peron 4190, 1181 Buenos Aires, Argentina hospitalitaliano.org.ar

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Gerardo Zanotti

Gerardo Zanotti

Hip Surgery Unit “Sir John Charnley”, Institute of Orthopaedics “Carlos E. Ottolenghi”, Italian Hospital of Buenos Aires, Peron 4190, 1181 Buenos Aires, Argentina hospitalitaliano.org.ar

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Fernando M. Comba

Fernando M. Comba

Hip Surgery Unit “Sir John Charnley”, Institute of Orthopaedics “Carlos E. Ottolenghi”, Italian Hospital of Buenos Aires, Peron 4190, 1181 Buenos Aires, Argentina hospitalitaliano.org.ar

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Martin A. Buttaro

Martin A. Buttaro

Hip Surgery Unit “Sir John Charnley”, Institute of Orthopaedics “Carlos E. Ottolenghi”, Italian Hospital of Buenos Aires, Peron 4190, 1181 Buenos Aires, Argentina hospitalitaliano.org.ar

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Francisco Piccaluga

Francisco Piccaluga

Hip Surgery Unit “Sir John Charnley”, Institute of Orthopaedics “Carlos E. Ottolenghi”, Italian Hospital of Buenos Aires, Peron 4190, 1181 Buenos Aires, Argentina hospitalitaliano.org.ar

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First published: 11 August 2014
Citations: 6
Academic Editor: Bayram Unver

Abstract

The incidence of clinical fat embolism syndrome (FES) is low (<1%) whilst fat embolism (FE) of marrow fat appears to occur more often (Mellor and Soni (2001)). Paradoxical brain FE may occur in patients undergoing hip orthopedic surgery who have an undocumented patent foramen ovale (PFO). We report a case of an eighty-year-old male patient, who underwent a scheduled revision hip surgery suffering a paradoxical cerebral FE.

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