Embolism detected by transoesophageal echocardiography during hip arthroplasty
| Autor: | Michel N. Michaux, Philippe H. Marchand, Willy M. Kostucki, Noelle D. Lafont, Jean G. Boogaerts |
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| Rok vydání: | 1994 |
| Předmět: |
medicine.medical_specialty
Heart Diseases medicine.medical_treatment Embolism Hemodynamics Blood Pressure Heart Rate Internal medicine medicine.artery medicine Humans Heart Atria Embolization Intraoperative Complications Aged medicine.diagnostic_test Vascular disease business.industry Bone Cements General Medicine medicine.disease Pulmonary embolism Pulse oximetry Anesthesiology and Pain Medicine Pulmonary artery Patent foramen ovale Cardiology Female Hip Prosthesis Radiology Pulmonary Embolism business Echocardiography Transesophageal |
| Zdroj: | Canadian Journal of Anaesthesia. 41:850-853 |
| ISSN: | 1496-8975 0832-610X |
| DOI: | 10.1007/bf03011592 |
| Popis: | This case report demonstrates embolization of echogenic material detected by transoesophageal echocardiography during a cemented total hip arthroplasty in a 76-yr-old woman without patent foramen ovale. During the placement of the acetabular and femoral components, and during relocation of the hip joint, a "snow flurry" appearing in the right atrium was followed by several highly echogenic and mobile emboli of various sizes, some of them with a vermiform shape 1 to 5 cm long. At skin closure, echogenic material was seen in the right branch of the pulmonary artery adherent to the vascular wall of the bifurcation of the main pulmonary artery. No changes were observed in any haemodynamic variable monitored (heart rate, systemic and right atrial pressures). Also, no desaturation was detected by pulse oximetry and blood gases at the time of embolism and there was no decrease in PETCO2. This case report is in line with other studies which failed to show a haemodynamic impact of TEE detected emboli during THA. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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