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British Journal of Anaesthesia, 2003, Vol. 91, No. 6 911-913
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Severe paradoxical intracranial embolism and pulmonary emboli during hip hemiarthroplasty

E. Narimatsu1,2, M. Kawamata2, M. Hase1, Y. Kurimoto1, Y. Asai1 and A. Namiki2

Departments of 1 Traumatology and Critical Care Medicine and 2 Anesthesiology, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo, Hokkaido 060-8543, Japan

*Corresponding author: Department of Traumatology and Critical Care Medicine, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo, Hokkaido 060-8543, Japan. E-mail: enarimat@sapmed.ac.jp

Both paradoxical intracranial embolism, an intracranial arterial embolism caused by venous embolic material that has passed through a right-to-left shunt, and pulmonary arterial embolism are life-threatening complications of joint arthroplasty. We report a case of severe paradoxical intracranial embolism and pulmonary embolism that occurred during hip hemiarthroplasty.

Br J Anaesth 2003; 91: 911--13


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