Large Pulmonary Embolus without Systemic Hemodynamic Consequences During Cemented Hip Arthroplasty

A case is presented in which a large embolus was detected passing through the right side of the heart during total hip arthroplasty. Although tricuspid regurgitation and an elevated right ventricular pressure resulted, there was no perturbation in systemic hemodynamics or gas exchange. The emboli de...

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Bibliographic Details
Published in:Journal of clinical anesthesia 1998-05, Vol.10 (3), p.238-241
Main Authors: Oxorn, Donald, Edelist, Gerald
Format: Article
Language:English
Subjects:
Aged
Arthroplasty, Replacement, Hip - adverse effects
Blood Pressure - physiology
Cementation
Echocardiography, Doppler
Echocardiography, Transesophageal
Embolism, Fat - complications
embolism: fat
Heart Rate - physiology
Hemodynamics
Humans
Intraoperative Complications - diagnostic imaging
Intraoperative Complications - physiopathology
Male
Oxygen Consumption - physiology
Pulmonary Embolism - diagnostic imaging
Pulmonary Embolism - etiology
Pulmonary Embolism - physiopathology
Pulmonary Gas Exchange - physiology
surgery: orthopedic
thromboembolism
Tricuspid Valve Insufficiency - etiology
Ultrasonography, Interventional
Ventricular Pressure - physiology
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Description
Summary:A case is presented in which a large embolus was detected passing through the right side of the heart during total hip arthroplasty. Although tricuspid regurgitation and an elevated right ventricular pressure resulted, there was no perturbation in systemic hemodynamics or gas exchange. The emboli detected during total hip arthroplasty are most likely composed of fat. No specific treatment is required, although heightened vigilance for disturbances in systemic hemodynamics is important.
ISSN:0952-8180
1873-4529
DOI:10.1016/S0952-8180(98)00014-2