Concomitant fat embolism syndrome and pulmonary embolism in a patient with patent foramen ovale
We present a rare case of a patient with concurrent fat embolism and pulmonary embolism, in a closed femur fracture with patent foramen ovale (PFO). A 24-year-old man was involved in a motor vehicle accident with a closed left midshaft femur fracture. He developed fat embolism syndrome (FES) on day...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Turkish Association of Orthopaedics and Traumatology
2020
|
| Online Access: | http://psasir.upm.edu.my/id/eprint/88241/1/ABSTRACT.pdf |
| _version_ | 1825952469305262080 |
|---|---|
| author | Yeak, Raymond Dieu Kiat Liew, Siew Khei |
| author_facet | Yeak, Raymond Dieu Kiat Liew, Siew Khei |
| author_sort | Yeak, Raymond Dieu Kiat |
| collection | UPM |
| description | We present a rare case of a patient with concurrent fat embolism and pulmonary embolism, in a closed femur fracture with patent foramen ovale (PFO). A 24-year-old man was involved in a motor vehicle accident with a closed left midshaft femur fracture. He developed fat embolism syndrome (FES) on day 3 of admission, and plating was performed. The D-dimer concentration was also high, which raised the suspicion of pulmonary artery embolism. Computed tomography pulmonary angiography (CTPA) revealed right inferior lobar pulmonary artery embolism and FES. A transthoracic echocardiogram (TEE) was performed, which showed a PFO. The presence of a PFO in patients with pulmonary embolism increases the risk of systemic embolism. Therefore, we recommend the routine echocardiogram for patients with pulmonary embolism to exclude any cardiac defect in causing right-to-left shunts, which predisposes the patient to paradoxical embolism. |
| first_indexed | 2024-03-06T10:45:06Z |
| format | Article |
| id | upm.eprints-88241 |
| institution | Universiti Putra Malaysia |
| language | English |
| last_indexed | 2024-03-06T10:45:06Z |
| publishDate | 2020 |
| publisher | Turkish Association of Orthopaedics and Traumatology |
| record_format | dspace |
| spelling | upm.eprints-882412022-03-10T05:38:07Z http://psasir.upm.edu.my/id/eprint/88241/ Concomitant fat embolism syndrome and pulmonary embolism in a patient with patent foramen ovale Yeak, Raymond Dieu Kiat Liew, Siew Khei We present a rare case of a patient with concurrent fat embolism and pulmonary embolism, in a closed femur fracture with patent foramen ovale (PFO). A 24-year-old man was involved in a motor vehicle accident with a closed left midshaft femur fracture. He developed fat embolism syndrome (FES) on day 3 of admission, and plating was performed. The D-dimer concentration was also high, which raised the suspicion of pulmonary artery embolism. Computed tomography pulmonary angiography (CTPA) revealed right inferior lobar pulmonary artery embolism and FES. A transthoracic echocardiogram (TEE) was performed, which showed a PFO. The presence of a PFO in patients with pulmonary embolism increases the risk of systemic embolism. Therefore, we recommend the routine echocardiogram for patients with pulmonary embolism to exclude any cardiac defect in causing right-to-left shunts, which predisposes the patient to paradoxical embolism. Turkish Association of Orthopaedics and Traumatology 2020 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/88241/1/ABSTRACT.pdf Yeak, Raymond Dieu Kiat and Liew, Siew Khei (2020) Concomitant fat embolism syndrome and pulmonary embolism in a patient with patent foramen ovale. Acta Orthopaedica et Traumatologica Turcica, 54 (4). 465 - 468. ISSN 1017-995X https://www.aott.org.tr/en/concomitant-fat-embolism-syndrome-and-pulmonary-embolism-in-a-patient-with-patent-foramen-ovale-137022 10.5152/j.aott.2020.20035 |
| spellingShingle | Yeak, Raymond Dieu Kiat Liew, Siew Khei Concomitant fat embolism syndrome and pulmonary embolism in a patient with patent foramen ovale |
| title | Concomitant fat embolism syndrome and pulmonary embolism in a patient with patent foramen ovale |
| title_full | Concomitant fat embolism syndrome and pulmonary embolism in a patient with patent foramen ovale |
| title_fullStr | Concomitant fat embolism syndrome and pulmonary embolism in a patient with patent foramen ovale |
| title_full_unstemmed | Concomitant fat embolism syndrome and pulmonary embolism in a patient with patent foramen ovale |
| title_short | Concomitant fat embolism syndrome and pulmonary embolism in a patient with patent foramen ovale |
| title_sort | concomitant fat embolism syndrome and pulmonary embolism in a patient with patent foramen ovale |
| url | http://psasir.upm.edu.my/id/eprint/88241/1/ABSTRACT.pdf |
| work_keys_str_mv | AT yeakraymonddieukiat concomitantfatembolismsyndromeandpulmonaryembolisminapatientwithpatentforamenovale AT liewsiewkhei concomitantfatembolismsyndromeandpulmonaryembolisminapatientwithpatentforamenovale |