“Does Neurological Manifestations in a Patient Diagnosed With Fat Embolism Syndrome an Indication to Rule Out Cardiac Abnormalities ? - A Case Report”.

Fat embolism occurs when bony or soft tissue trauma has caused fat to enter the circulation, or in atraumatic disorders where circulating fat particles have coalesced abnormally within the circulation. The fat particles deposit in the pulmonary and systemic circulations, although only 1 - 2% develop a clinical disorder with 1 respiratory, cerebral and dermal manifestations known as the fat embolism syndrome . Management of FES requires early 2 immobilization of fracture, symptomatic management of respiratory, cardiovascular, and neurological abnormalities . Here we discuss about a 32 year old male with marfanoid like features who came with alleged history of road trafc accident, diagnosed with both bone fracture right leg and comminuted inter trochanteric fracture left hip. Patient underwent PFNA2 xation of left hip and post operatively developed decreased response, desaturation and low urine output. This case discusses the increased chances of eurological symptoms in those having congenital heart abnormalities like a patent foramen ovale and the need to do a further cardiac evaluation including imaging like trans esophageal echocardiography.