Liposuction fat emboli resulting in myocardial infarction: a case report and review of the literature

Grome, Luke; Bartlett, Erica L.; Izaddoost, Shayan A.

doi:10.1007/s00238-019-01514-0

Cited by 2 publications

(4 citation statements)

References 17 publications

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“…The pathophysiology of FES includes endothelial injury by release of different inflammatory mediators and platelets aggregation [ 9 ]. Multiple theories have been postulated to explain occurrence of FES after liposuction.…”

Section: Discussionmentioning

confidence: 99%

“…After liposuction procedures, FES severity is variable and may be subclinical [ 9 ]. The onset is usually gradual within the first 48 hours.…”

Section: Discussionmentioning

confidence: 99%

“…The classical triad, described by Von Bergman, is present in only 0.5-2% of cases and includes respiratory, neurological, and cutaneous manifestations [ 4 ]. In general, the respiratory manifestations range from tachypnea to acute respiratory failure [ 9 ]. The neurological manifestations usually follow the respiratory manifestations and range from disorientation to coma.…”

Section: Discussionmentioning

confidence: 99%

“…The presence of fat droplets in urine may help in diagnosis [ 6 ]. The gold standard imaging modality is contrast-enhanced computed tomography (CT) of the chest that may reveal diffuse infiltration with ground-glass pulmonary patches [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

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Sudden Cardiac Arrest During a Prolonged Liposuction and Lipofilling Procedure: A Case Report

Foula¹,

Ahmed²,

Foula³

et al. 2022

Cureus

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Liposuction is a popular cosmetic procedure. Recently, there has been an increase in the reported complications. Fat embolism syndrome (FES) is a rare life-threatening condition with challenging diagnosis. A young lady was admitted for liposuction and lipofilling procedure. After 180 minutes, cardiac arrest happened. She was revived after cardiopulmonary resuscitation. She was tachypneic, hypoxic, and feverish. Her chest x-rays were suggestive of acute respiratory distress syndrome. After exclusion of other differential diagnoses, she was diagnosed as post-arrest state on top of FES. Fortunately, she showed a gradual improvement, starting from the fourth day and was discharged to a regular ward on the sixth day. Sudden cardiac arrest during liposuction is a dreadful complication that may occur in healthy persons due to FES. Its diagnosis depends on high index of clinical suspicion and use of special criteria and scoring systems. The management depends on conservative measures with/without steroids administration.

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Section: Discussionmentioning

confidence: 99%

“…After liposuction procedures, FES severity is variable and may be subclinical [ 9 ]. The onset is usually gradual within the first 48 hours.…”

Section: Discussionmentioning

confidence: 99%