Cardiac cobaltism: a rare complication after bilateral metal-on-metal total hip arthroplasty

Autor: John R. Martin, MD, Luke Spencer-Gardner, MD, Christopher L. Camp, MD, John M. Stulak, MD, Rafael J. Sierra, MD
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Arthroplasty Today, Vol 1, Iss 4, Pp 99-102 (2015)
Druh dokumentu: article
ISSN: 2352-3441
02285274
DOI: 10.1016/j.artd.2015.10.002
Popis: This is one of the first documented cases of metal-on-metal (MoM) total hip arthroplasty cobalt cardiac toxicity that has led to patient death. A 69-year-old female presented to our institution with cardiac failure secondary to cobalt toxicity resulting from bilateral MoM total hip arthroplasty. Her presenting metal ion levels were a cobalt level of 199 ppb and a chromium level of 77 ppb. She underwent bilateral femoral revisions to remove the source of cobalt. On postoperative day 7, the patient sustained a cerebral infarct and eventually expired because of the insult. This case represents one of the first documented fatalities related to MoM cobalt cardiac toxicity.
Databáze: Directory of Open Access Journals