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- Title
Fat embolism following traumatic injury with cerebral embolism and stroke in the presence of a patent foramen ovale.
- Authors
DeLong, L.; Tobias, J. D.
- Abstract
Fat embolism syndrome (FES) most commonly occurs 24-48 hours following trauma or orthopedic surgery. The signs and symptoms of FES are often difficult to identify or may be attributed to the primary event or a comorbid condition. Clinical manifestations vary depending on the clinical scenario, generally including hypoxemia, respiratory insufficiency, a petechial rash, and fever. We report a 13-year-old adolescent who presented with multiple end-organ effects including an embolic stroke in the presence of a patent foramen ovale related to FES following traumatic injury and orthopedic surgery. The proposed pathophysiological mechanisms and etiology of FES are reviewed, diagnostic criteria and work-up presented, and therapeutic interventions discussed.
- Subjects
FAT embolism; ORTHOPEDIC surgery; HYPOXEMIA
- Publication
Pediatric Anesthesia & Critical Care Journal (PACCJ), 2021, Vol 9, Issue 2, p65
- ISSN
2281-8421
- Publication type
Article
- DOI
10.14587/paccj.2021.11