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Inicio Revista Española de Anestesiología y Reanimación (English Edition) Paradoxical intraoperative embolism in a patient with Eisenmenger syndrome under...
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Vol. 66. Issue 8.
Pages 439-442 (October 2019)
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Vol. 66. Issue 8.
Pages 439-442 (October 2019)
Case report
Paradoxical intraoperative embolism in a patient with Eisenmenger syndrome undergoing hip arthroplasty
Embolismo paradójico intraoperatorio en paciente con síndrome de Eisenmenger sometida a hemiartroplastia de cadera
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J.L. Tomé Roca
Corresponding author
joseluistomeroca@gmail.com

Corresponding author.
, R. López Martín, Y. Baca Morilla, C. de la Linde Valverde
Servicio de Anestesiología y Reanimación, Hospital Universitario Virgen de la Nieves, Granada, Spain
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Table 1. Blood gas parameters.
Abstract

Hip arthroplasty is associated with a high incidence of embolic events that, although usually not relevant at a clinical level, may be an important cause of morbidity and mortality in certain situations.

Extreme caution should be taken in patients with cardiac defects that favor communication between the pulmonary and systemic circulation, due to their greater risk of complications. We present the case of a 72-year-old patient who suffered a paradoxical embolism during the intervention, with devastating consequences.

Keywords:
Eisenmenger syndrome
Paradoxical embolism
Hip arthroplasty
Resumen

La artroplastia de cadera se asocia a una elevada incidencia de eventos embólicos que, si bien normalmente no tienen trascendencia a nivel clínico, pueden suponer una causa importante de morbimortalidad en determinadas situaciones.

En el caso de pacientes con defectos cardiacos que favorezcan la comunicación entre la circulación pulmonar y la sistémica, deberemos de extremar toda precaución, puesto que presentan un gran riesgo de sufrir complicaciones. Exponemos el caso de una paciente de 72 años que sufrió un embolismo paradójico durante la realización de la intervención, con devastadoras consecuencias.

Palabras clave:
Síndrome Eisenmenger
Embolismo paradójico
Hemiartroplastia cadera

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