Fatal Systemic Embolism following Revision of Hip Arthroplasty: A Complication of Pulmonary Arteriovenous Malformation-Reference-Cited by-同舟云学术

Fatal Systemic Embolism following Revision of Hip Arthroplasty: A Complication of Pulmonary Arteriovenous Malformation

Published:2013-04 Issue:2 Volume:14 Page:165-168
ISSN:1751-1437
Container-title:Journal of the Intensive Care Society
language:en
Short-container-title:Journal of the Intensive Care Society

Author:

Battle Charlotte¹,Dow Alasdair²,Timperely John³

Affiliation:

1. Core Trainee Year 1 Anaesthetics, Yeovil District Hospital

2. Consultant Anaesthetist, Royal Devon and Exeter Hospital

3. Consultant Orthopaedic Surgeon, Royal Devon and Exeter Hospital

Abstract

A 72-year-old female patient who had a pulmonary arteriovenous malformation (PAVM) suffered systemic emboli causing pulmonary and cerebral infarction following the revision of an infected total hip replacement. Although not ultimately successful in this case, we detail the management of maintaining oxygenation and adequate cardiac output in a critically ill patient with a PAVM. We also discuss techniques that may be employed to minimise the shunt associated with the PAVM, with the aim of reducing the risk of systemic emboli.

Publisher

SAGE Publications

Subject

Critical Care and Intensive Care Medicine,Critical Care Nursing

Link

http://journals.sagepub.com/doi/pdf/10.1177/175114371301400217

Reference14 articles.

1. Fat embolism

2. Pulmonary Arteriovenous Fistula and Hereditary Hemorrhagic Telangiectasia: A Review and Report of 35 Cases of Fistula

3. Pulmonary arteriovenous malformation

4. Prevalence of pulmonary arteriovenous malformations (PAVMs) and occurrence of neurological symptoms in patients with hereditary haemorrhagic telangiectasia (HHT)

5. Brain abscesses associated with pulmonary arteriovenous malformations