1/30. Two episodes of clinical fat embolism following multiple fractures.Second episodes of clinical fat embolism have not previously been reported. This paper presents the case report of a patient with multiple fractures who developed two distinct attacks with a symptom-free interval. The second attack was partly responsible for death, and histological examination confirmed the diagnosis.- - - - - - - - - - ranking = 1keywords = embolism (Clic here for more details about this article) |
2/30. Transcranial doppler detection of fat emboli.BACKGROUND AND PURPOSE: The fat embolism syndrome (FES) is characterized by the simultaneous occurrence of pulmonary and neurological symptoms as well as skin and mucosal petechiae in the setting of long-bone fractures or their surgical repair. Its pathophysiology is poorly understood, and effective treatments are lacking. We present 5 patients with long-bone fractures in whom in vivo microembolism was detected by transcranial Doppler. methods: Five patients with long-bone fractures were monitored with transcranial Doppler for microembolic signals (MESs) after trauma. Two patients also had intraoperative monitoring. A TC-2020 instrument equipped with MES detection software was used. Detected signals were saved for subsequent review. Selected signals satisfied criteria defined previously and were categorized as large or small. RESULTS: Cerebral microembolism was detected in all 5 patients and was transient, resolving within 4 days of injury. Intraoperative monitoring revealed an increase in MESs during intramedullary nail insertion. The characteristics of MESs after injury varied among patients, with large signals being more frequent in the only patient with a patent foramen ovale. CONCLUSIONS: Cerebral microembolism after long-bone fractures can be detected in vivo and monitored over time. These findings may have potential diagnostic and therapeutic implications.- - - - - - - - - - ranking = 0.8keywords = embolism (Clic here for more details about this article) |
3/30. Fatal fat embolism syndrome: a case report.Fat embolism syndrome is a dire complication of long bone trauma. It is usually associated with neurological, hematological and respiratory involvement, the latter being the major cause of death. We present a case of severe fat embolism syndrome occurring 3 hours after a long bone injury, leading to permanent vegetative state and death without any respiratory signs. The diagnosis was confirmed by cytology of the bronchoalveolar lavage fluid. Clinical presentation of the puzzling fat embolism syndrome and diagnostic tests in suspected fat embolism syndrome are reviewed.- - - - - - - - - - ranking = 1.6keywords = embolism (Clic here for more details about this article) |
4/30. pulmonary embolism following operative treatment of ankle fractures: a report of three cases and review of the literature.The risks of thromboembolism following operative treatment of ankle fractures are deep vein thrombosis (DVT) and pulmonary embolism (PE). These are potentially life-threatening complications. Many orthopedic surgeons fail to appreciate the potential complications of thromboembolic events because of their rare and delayed occurrence in foot and ankle operations. The purpose of this report is to describe the potential for DVT and PE following ankle operations. We present three cases in which patients who underwent operative treatment of ankle fractures subsequently developed PE. We also review the literature on the prevalence of thrombosis, risk factors, methods of prophylaxis, and use of prophylaxis in surgical procedures of the lower extremity.- - - - - - - - - - ranking = 1.229928999983keywords = embolism, thrombosis (Clic here for more details about this article) |
5/30. Fat embolism associated with an atrial septal defect.A case of a patient with pulmonary fat embolism following fractures of femurs and pelvis, with a fatal outcome after 3 days, is presented. Post mortem examination revealed a congenital osteum secundum heart defect, and widespread capillary occlusions from systemic fat microembolization.- - - - - - - - - - ranking = 1keywords = embolism (Clic here for more details about this article) |
6/30. Fatal fat embolism associated with polymethyl methacrylate bone cement.Three fatalities after procedures involving the use of polymethyl methacrylate cement are reported. autopsy studies showed varying degrees of pulmonary fat embolism although lack of correction of operative blood loss was the major factor.- - - - - - - - - - ranking = 1keywords = embolism (Clic here for more details about this article) |
7/30. femoral artery thrombosis after open reduction of an acetabular fracture.The increasingly popular ilioinguinal anterior approach for select fractures of the acetabulum provides excellent exposure with minimal soft tissue dissection. Vascular complications reported with this procedure, although infrequent, are usually quite pronounced in their presentation. The authors encountered a more subtle case of femoral artery thrombosis secondary to vessel retraction while using this approach. The susceptibility of major vessels to thrombus formation is noteworthy. The precautions, and the close postoperative monitoring necessary to detect such vascular lesions, are emphasized.- - - - - - - - - - ranking = 0.074822499957597keywords = thrombosis (Clic here for more details about this article) |
8/30. Reversible vasospasm in association with the use of heparin and dihydroergotamine.A case of reversible vasospasm is reported in a 54-year-old man with a closed bimalleolar ankle fracture. On admission the patient had normal distal pulses and laboratory studies. He was a heavy smoker who continued to smoke in the hospital. Deep venous thrombosis (DVT) prophylaxis included dihydroergotamine and heparin (DHE-H). In the early postoperative period, marked spasm of all three arteries developed on the operative side. smoking privileges and DHE-H were discontinued. The vasospasm resolved after intraarterial nitroglycerin. This case suggests an infrequent but potentially limb-threatening complication of DHE-H.- - - - - - - - - - ranking = 0.014964499991519keywords = thrombosis (Clic here for more details about this article) |
9/30. electroconvulsive therapy in a geriatric patient with multiple bone fractures and generalized plasmocytoma.electroconvulsive therapy (ECT) is a highly effective treatment for patients with severe major depressive disorder. ECT can safely be administered even to medically ill, high-risk patients; we report on the complete remission of depressive psychopathology following five unilateral ECT treatments in a suicidal geriatric patient with concurrent prior venous thrombosis, coronary heart disease, multiple myeloma, glaucoma, bilateral petrous bone fractures, and a femoral neck fracture. Most medical complications during ECT can be managed with interdisciplinary cooperation.- - - - - - - - - - ranking = 0.014964499991519keywords = thrombosis (Clic here for more details about this article) |
10/30. Fatal pulmonary embolism following ankle fracture in a 17-year-old girl.We report a case of fatal pulmonary embolism following a simple ankle fracture in a 17-year-old girl. The diagnosis was confirmed at post-mortem. The risk factors for deep venous thrombosis and pulmonary embolism and their significance in orthopaedic fracture management are discussed.- - - - - - - - - - ranking = 1.2149644999915keywords = embolism, thrombosis (Clic here for more details about this article) |
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