Cerebral fat embolism following cardiac surgery.

Cerebral fat embolism following cardiac surgery.

We describe 3 cases of cerebral fat embolism associated with cardiac surgery. The autopsy findings suggested that in 2 cases, the embolic fat globules entered the systemic circulation directly as a result of protrusion of epicardial fat into the left atrial chamber along the suture line in one case, and through an atrial septal defect in the other. The characteristic latent interval between sur...

Paradoxical Cerebral Fat Embolism in Revision Hip Surgery

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 sufferi...

[Post-traumatic cerebral fat embolism].

Fatal cerebral embolism following aorto-coronary bypass graft surgery.

In a case of fatal cerebral embolic infarction following aorto-coronary bypass graft (ACBG) surgery, postmortem examination revealed thrombosis of the vein grafts to the left circumflex and left anterior descending coronary arteries. Continguous with the thrombus in the graft to the circumflex artery was thrombotic material adherent to the aortic sutures and extending several millimeters into t...

Cerebral arterial gas embolism following cardiopulmonary bypass surgery.

A 13-year-old boy with a history of tetrology of Fallot underwent a pulmonary value replacement procedure. Gas bubbles were observed in the bypass circuit during the procedure. Trendelenburg position, one of the older standard recommendations when arterial gas embolism (AGE) is suspected, was established during the remainder of the procedure [1]. The patient could not support respirations adequ...