Cerebral fat embolism following cardiac surgery
We describe 3 cases of cerebral fat embolism associated with cardiac surgery. The autopsy findings suggested that in 2 cases, the embolic fat globules entered the systemic circulation directly as a result of protrusion of epicardial fat into the left atrial chamber along the suture line in one case,...
Gespeichert in:
| Veröffentlicht in: | Stroke (1970) 1983-07, Vol.14 (4), p.619-621 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 621 |
|---|---|
| container_issue | 4 |
| container_start_page | 619 |
| container_title | Stroke (1970) |
| container_volume | 14 |
| creator | GHATAK, N. R SINNENBERG, R. J DEBLOIS, G. G |
| description | We describe 3 cases of cerebral fat embolism associated with cardiac surgery. The autopsy findings suggested that in 2 cases, the embolic fat globules entered the systemic circulation directly as a result of protrusion of epicardial fat into the left atrial chamber along the suture line in one case, and through an atrial septal defect in the other. The characteristic latent interval between surgical trauma and onset of neurologic manifestations was lacking in both cases. The evolution of neurologic manifestations and the pathologic findings in the third case were similar to those usually seen in posttraumatic fat embolism. This study suggests that the pathogenetic mechanisms of cerebral fat embolism following cardiac surgery may vary in different cases. Also, it emphasizes the importance of autopsy in the investigation of this serious but preventable complication. |
| doi_str_mv | 10.1161/01.STR.14.4.619 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_80836588</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>80836588</sourcerecordid><originalsourceid>FETCH-LOGICAL-c397t-81fe43a70465290a01f4bd47143af5c4cc448eb3083f5f165ab263d55037edc83</originalsourceid><addsrcrecordid>eNo9kE1LAzEQhoMotVbPnoQ9iLfdZjaTbHKU4hcUBK3nkM0mZSXb1aSL9N-7paWngZnnfWEeQm6BFgAC5hSKz9VHAVhgIUCdkSnwEnMUpTwnU0qZyktU6pJcpfRNKS2Z5BMyEYJLhTAl84WLro4mZN5sM9fVfWhTl_k-hP6v3awza2LTGpulIa5d3F2TC29CcjfHOSNfz0-rxWu-fH95Wzwuc8tUtc0leIfMVBQFLxU1FDzWDVYwLj23aC2idDWjknnuQXBTl4I1nFNWucZKNiMPh96f2P8OLm111ybrQjAb1w9JyzE5_rAH5wfQxj6l6Lz-iW1n4k4D1XtFmoIeFWlAjXpUNCbujtVD3bnmxB-djPf7490ka4KPZmPbdMIUK0FUwP4BVZltEg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>80836588</pqid></control><display><type>article</type><title>Cerebral fat embolism following cardiac surgery</title><source>MEDLINE</source><source>American Heart Association Journals</source><source>Journals@Ovid Complete</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>GHATAK, N. R ; SINNENBERG, R. J ; DEBLOIS, G. G</creator><creatorcontrib>GHATAK, N. R ; SINNENBERG, R. J ; DEBLOIS, G. G</creatorcontrib><description>We describe 3 cases of cerebral fat embolism associated with cardiac surgery. The autopsy findings suggested that in 2 cases, the embolic fat globules entered the systemic circulation directly as a result of protrusion of epicardial fat into the left atrial chamber along the suture line in one case, and through an atrial septal defect in the other. The characteristic latent interval between surgical trauma and onset of neurologic manifestations was lacking in both cases. The evolution of neurologic manifestations and the pathologic findings in the third case were similar to those usually seen in posttraumatic fat embolism. This study suggests that the pathogenetic mechanisms of cerebral fat embolism following cardiac surgery may vary in different cases. Also, it emphasizes the importance of autopsy in the investigation of this serious but preventable complication.</description><identifier>ISSN: 0039-2499</identifier><identifier>EISSN: 1524-4628</identifier><identifier>DOI: 10.1161/01.STR.14.4.619</identifier><identifier>PMID: 6658941</identifier><identifier>CODEN: SJCCA7</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adult ; Aged ; Anesthesia ; Anesthesia depending on type of surgery ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Cardiac Surgical Procedures - adverse effects ; Embolism, Fat - diagnosis ; Embolism, Fat - etiology ; Humans ; Intracranial Embolism and Thrombosis - diagnosis ; Intracranial Embolism and Thrombosis - etiology ; Male ; Medical sciences ; Postoperative Complications - diagnosis ; Thoracic and cardiovascular surgery. Cardiopulmonary bypass</subject><ispartof>Stroke (1970), 1983-07, Vol.14 (4), p.619-621</ispartof><rights>1984 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c397t-81fe43a70465290a01f4bd47143af5c4cc448eb3083f5f165ab263d55037edc83</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,3673,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=9321671$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6658941$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>GHATAK, N. R</creatorcontrib><creatorcontrib>SINNENBERG, R. J</creatorcontrib><creatorcontrib>DEBLOIS, G. G</creatorcontrib><title>Cerebral fat embolism following cardiac surgery</title><title>Stroke (1970)</title><addtitle>Stroke</addtitle><description>We describe 3 cases of cerebral fat embolism associated with cardiac surgery. The autopsy findings suggested that in 2 cases, the embolic fat globules entered the systemic circulation directly as a result of protrusion of epicardial fat into the left atrial chamber along the suture line in one case, and through an atrial septal defect in the other. The characteristic latent interval between surgical trauma and onset of neurologic manifestations was lacking in both cases. The evolution of neurologic manifestations and the pathologic findings in the third case were similar to those usually seen in posttraumatic fat embolism. This study suggests that the pathogenetic mechanisms of cerebral fat embolism following cardiac surgery may vary in different cases. Also, it emphasizes the importance of autopsy in the investigation of this serious but preventable complication.</description><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia</subject><subject>Anesthesia depending on type of surgery</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Cardiac Surgical Procedures - adverse effects</subject><subject>Embolism, Fat - diagnosis</subject><subject>Embolism, Fat - etiology</subject><subject>Humans</subject><subject>Intracranial Embolism and Thrombosis - diagnosis</subject><subject>Intracranial Embolism and Thrombosis - etiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Postoperative Complications - diagnosis</subject><subject>Thoracic and cardiovascular surgery. Cardiopulmonary bypass</subject><issn>0039-2499</issn><issn>1524-4628</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1983</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1LAzEQhoMotVbPnoQ9iLfdZjaTbHKU4hcUBK3nkM0mZSXb1aSL9N-7paWngZnnfWEeQm6BFgAC5hSKz9VHAVhgIUCdkSnwEnMUpTwnU0qZyktU6pJcpfRNKS2Z5BMyEYJLhTAl84WLro4mZN5sM9fVfWhTl_k-hP6v3awza2LTGpulIa5d3F2TC29CcjfHOSNfz0-rxWu-fH95Wzwuc8tUtc0leIfMVBQFLxU1FDzWDVYwLj23aC2idDWjknnuQXBTl4I1nFNWucZKNiMPh96f2P8OLm111ybrQjAb1w9JyzE5_rAH5wfQxj6l6Lz-iW1n4k4D1XtFmoIeFWlAjXpUNCbujtVD3bnmxB-djPf7490ka4KPZmPbdMIUK0FUwP4BVZltEg</recordid><startdate>198307</startdate><enddate>198307</enddate><creator>GHATAK, N. R</creator><creator>SINNENBERG, R. J</creator><creator>DEBLOIS, G. G</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198307</creationdate><title>Cerebral fat embolism following cardiac surgery</title><author>GHATAK, N. R ; SINNENBERG, R. J ; DEBLOIS, G. G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c397t-81fe43a70465290a01f4bd47143af5c4cc448eb3083f5f165ab263d55037edc83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1983</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anesthesia</topic><topic>Anesthesia depending on type of surgery</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Cardiac Surgical Procedures - adverse effects</topic><topic>Embolism, Fat - diagnosis</topic><topic>Embolism, Fat - etiology</topic><topic>Humans</topic><topic>Intracranial Embolism and Thrombosis - diagnosis</topic><topic>Intracranial Embolism and Thrombosis - etiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Postoperative Complications - diagnosis</topic><topic>Thoracic and cardiovascular surgery. Cardiopulmonary bypass</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>GHATAK, N. R</creatorcontrib><creatorcontrib>SINNENBERG, R. J</creatorcontrib><creatorcontrib>DEBLOIS, G. G</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Stroke (1970)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>GHATAK, N. R</au><au>SINNENBERG, R. J</au><au>DEBLOIS, G. G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cerebral fat embolism following cardiac surgery</atitle><jtitle>Stroke (1970)</jtitle><addtitle>Stroke</addtitle><date>1983-07</date><risdate>1983</risdate><volume>14</volume><issue>4</issue><spage>619</spage><epage>621</epage><pages>619-621</pages><issn>0039-2499</issn><eissn>1524-4628</eissn><coden>SJCCA7</coden><abstract>We describe 3 cases of cerebral fat embolism associated with cardiac surgery. The autopsy findings suggested that in 2 cases, the embolic fat globules entered the systemic circulation directly as a result of protrusion of epicardial fat into the left atrial chamber along the suture line in one case, and through an atrial septal defect in the other. The characteristic latent interval between surgical trauma and onset of neurologic manifestations was lacking in both cases. The evolution of neurologic manifestations and the pathologic findings in the third case were similar to those usually seen in posttraumatic fat embolism. This study suggests that the pathogenetic mechanisms of cerebral fat embolism following cardiac surgery may vary in different cases. Also, it emphasizes the importance of autopsy in the investigation of this serious but preventable complication.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>6658941</pmid><doi>10.1161/01.STR.14.4.619</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0039-2499 |
| ispartof | Stroke (1970), 1983-07, Vol.14 (4), p.619-621 |
| issn | 0039-2499 1524-4628 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_80836588 |
| source | MEDLINE; American Heart Association Journals; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adult Aged Anesthesia Anesthesia depending on type of surgery Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Cardiac Surgical Procedures - adverse effects Embolism, Fat - diagnosis Embolism, Fat - etiology Humans Intracranial Embolism and Thrombosis - diagnosis Intracranial Embolism and Thrombosis - etiology Male Medical sciences Postoperative Complications - diagnosis Thoracic and cardiovascular surgery. Cardiopulmonary bypass |
| title | Cerebral fat embolism following cardiac surgery |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-26T10%3A28%3A47IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Cerebral%20fat%20embolism%20following%20cardiac%20surgery&rft.jtitle=Stroke%20(1970)&rft.au=GHATAK,%20N.%20R&rft.date=1983-07&rft.volume=14&rft.issue=4&rft.spage=619&rft.epage=621&rft.pages=619-621&rft.issn=0039-2499&rft.eissn=1524-4628&rft.coden=SJCCA7&rft_id=info:doi/10.1161/01.STR.14.4.619&rft_dat=%3Cproquest_cross%3E80836588%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=80836588&rft_id=info:pmid/6658941&rfr_iscdi=true |