International Journal of Gerontology
Volume 2, Issue 3 , Pages 115-119, September 2008

Detection of Right Heart Emboli by Transesophageal Echocardiography in Cement Implantation Syndrome in an Elderly Patient

  • Ching-Hung Chen

      Affiliations

    • Department of Anesthesiology, China Medical University Hospital, Taichung, Taiwan
    • ,
  • Hung-Tai Su

      Affiliations

    • Department of Anesthesiology, Buddhist Tzu Chi General Hospital, Taichung, Taiwan
    • ,
  • Chih-Jen Hung

      Affiliations

    • Department of Anesthesia, China Medical University, Taichung, Taiwan
    • ,
  • Kuen-Bao Chen

      Affiliations

    • Department of Anesthesiology, China Medical University Hospital, Taichung, Taiwan
    • Department of Anesthesia, China Medical University, Taichung, Taiwan
    • ,
  • Chia-Sheng Chang

      Affiliations

    • Department of Anesthesiology, China Medical University Hospital, Taichung, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Chia-Sheng Chang, Department of Anesthesiology, China Medical University Hospital, 2 Yuh-Der Road, Taichung 40447, Taiwan
    • ,
  • Rick Sai-Chuen Wu

      Affiliations

    • Department of Anesthesiology, China Medical University Hospital, Taichung, Taiwan
    • Department of Anesthesia, China Medical University, Taichung, Taiwan

Accepted 24 June 2008.

Summary 

Femoral fractures are common and lethal among elderly patients. The elderly suffer more perioperative risks because of their complicated medical conditions and poor physical reserves. During cemented arthroplasty surgery in the elderly, unstable hemodynamic changes are frequently noted when the cement and prosthesis are inserted. Transesophageal echocardiography (TEE) allows rapid perioperative diagnosis and management of hemodynamic changes. We report an elderly patient with paroxysmal atrial fibrillation, in whom a huge serpentine embolus was noted by TEE. Although cardiovascular collapse was encountered during cemented hip arthroplasty surgery, the patient was successfully resuscitated and the related perioperative risk was managed by TEE application.

Key Words:  atrial fibrillation , cardiopulmonary resuscitation , cemented arthroplasty surgery , elderly , transesophageal echocardiography

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PII: S1873-9598(08)70048-6

doi:10.1016/S1873-9598(08)70048-6

International Journal of Gerontology
Volume 2, Issue 3 , Pages 115-119, September 2008

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