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A rare cause of perioperative stroke
Author(s) -
Sapna Erat Sreedharan,
G Parthasarathi,
PN Sylaja
Publication year - 2013
Publication title -
annals of indian academy of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.427
H-Index - 31
eISSN - 1998-3549
pISSN - 0972-2327
DOI - 10.4103/0972-2327.107716
Subject(s) - medicine , perioperative , etiology , pulmonary embolism , stroke (engine) , orthopedic surgery , paradoxical embolism , total knee replacement , surgery , patent foramen ovale , mechanical engineering , percutaneous , engineering
Perioperative stroke can occur following 0.2-0.3% of general surgical and orthopedic procedures. We are reporting a patient who developed multiple strokes in the immediate postoperative period following total knee replacement, where etiological workup revealed multiple pulmonary arteriovenous fistulae (PAVF). The significance of PAVF with paradoxical embolism in perioperative settings has rarely been reported in the literature.

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