Key result
An 87-year-old woman developed sudden hypoxemia, shock, and severe right ventricular dilatation intraoperatively during internal fixation for a right femoral neck fracture.
Case Report (n=1)
Fat embolism syndrome should be considered in elderly patients who present with unexplained acute right heart failure during orthopedic surgery.
Fat embolism syndrome warrants consideration in unexplained intraoperative right heart failure during hip surgery; this case leaves open the role of VA-ECMO rescue.
fat embolism syndrome | petechiae | pulmonary hypertension | right heart failure | starfield pattern An 87-year-old woman underwent internal fixation for a right femoral neck fracture under general anesthesia.Intraoperatively, she developed sudden hypoxemia, shock, and severe right ventricular dilatation, necessitating the introduction of venoarterial extracorporeal membrane oxygenation.Pulmonary thromboembolism was excluded by
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Araki et al. (2026) conducted a case report in Acute right heart failure during hip surgery (n=1). Internal fixation for femoral neck fracture was evaluated. An 87-year-old woman developed sudden hypoxemia, shock, and severe right ventricular dilatation intraoperatively during internal fixation for a right femoral neck fracture.
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