山梨医科大学雑誌　第9巻2号　065-068(1994)

Fatal Cardiovascular Collapse during Insertion of Bone Cement and a Prosthesis: Two Case Reports

Toshihiro NAKAMURA, Satoshi KASHIMOTO, Hironobu IWASHITA, Akihiko NONAKA,
Kazuyuki HANAGATA, and Teruo KUMAZAWA

Abstract: Over the last two decades, hip surgery with methylmethacrylic cement has become a popular and suecessful procedure. Improvements in the techniques of surgery and anesthesia have led to increased numbers of operations in the elderly. However, cardiovascular collapse is an occasional but well documented complication of the use of acrylic bone cement during hip surgery. Although the etiology has not yet been completely resolved, fat or air emboli and hypersensitivity to the methylmethacrylate monomer have been implicated. We have now documented two cases of fatal cardiovascular collapse during orthopedic surgery, presumably resulting from intraoperative fat embolism.

Key words: Bone cement, Cardiovascular collapse, Fat embolism




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