TY  - JOUR
TI  - Concomitant fat embolism syndrome and pulmonary embolism in a patient with patent foramen ovale
AB  - We present a rare case of a patient with concurrent fat embolism and pulmonary embolism, in a closed femur fracture withpatent foramen ovale (PFO). A 24-year-old man was involved in a motor vehicle accident with a closed left midshaft femurfracture. He developed fat embolism syndrome (FES) on day 3 of admission, and plating was performed. The D-dimer concentration was also high, which raised the suspicion of pulmonary artery embolism. Computed tomography pulmonary angiography (CTPA) revealed right inferior lobar pulmonary artery embolism and FES. A transthoracic echocardiogram (TEE) wasperformed, which showed a PFO. The presence of a PFO in patients with pulmonary embolism increases the risk of systemicembolism. Therefore, we recommend the routine echocardiogram for patients with pulmonary embolism to exclude any cardiac defect in causing right-to-left shunts, which predisposes the patient to paradoxical embolism.
AU  - Yeak, Raymond
AU  - Liew, Siew Khei
DO  - 10.5152/j.aott.2020.20035
PY  - 2020
JO  - Acta Orthopaedica et Traumatologica Turcica
VL  - 54
IS  - 4
SN  - 1017-995X
SP  - 465
EP  - 468
DB  - TRDizin
UR  - http://search/yayin/detay/380157
ER  -