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Paradoxical fat embolism after uncemented total hip arthroplasty: a case report
Emmanuel Thienpont1, Samir Kaddar, Stuart Morrison
1Department of Orthopaedic Surgery, Hôpital Français--Université Libre de Bruxelles, Brussels, Belgium. ethienpont@yahoo.com
Acta Orthopaedica Belgica
|August 25, 2007
Abstract:
The authors report a paradoxical presentation of fat embolism after uncemented total hip arthroplasty. The patient presented vertigo and diplopia after surgery. Cerebral fat embolism was diagnosed by MRI. A patent foramen ovale was responsible for the venous to arterial circulation shunt. Treatment was conservative. Spontaneous and complete recovery occurred.