Acetabular fracture secondary to a cardiac arrest induced seizure: A case report and review of literature

Sraj, Shafic; Afeiche, Nadim; Lakkis, Suhayl

doi:10.1016/j.injury.2006.12.185

Cited by 1 publication

(2 citation statements)

References 14 publications

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“…Non-traumatic acetabular fractures are very rare, but can occur following forceful contraction of the pelvic muscles. A previous case report described an acetabular fracture in the context of both a tonic–clonic seizure and defibrillation following MI, but whether the fracture was secondary to either the seizure or cardioversion remained unknown 1. Other case reports have highlighted both subtrochanteric2 and trochanteric3 femoral fractures following electrical cardioversion.…”

Section: Discussionmentioning

confidence: 99%

“…A previous case report described an acetabular fracture in the context of both a tonic–clonic seizure and defibrillation following MI, but whether the fracture was secondary to either the seizure or cardioversion remained unknown. 1 Other case reports have highlighted both subtrochanteric 2 and trochanteric 3 femoral fractures following electrical cardioversion. In all of these cases, patients had either osteoporosis or previous femoral fracture.…”

Section: Discussionmentioning

confidence: 99%

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Management of a complex acetabular fracture following defibrillation for ventricular fibrillation cardiac arrest

et al. 2023

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In this case report, we describe the first case of a patient who sustained a complex acetabular fracture following defibrillation for ventricular fibrillation cardiac arrest in the context of acute myocardial infarction. The patient was unable to undergo definitive open reduction internal fixation surgery due to the need to continue dual antiplatelet therapy following coronary stenting of his occluded left anterior descending artery. Following multidisciplinary discussions, a staged approach was opted for, with percutaneous closed reduction screw fixation of the fracture performed while the patient was maintained on dual antiplatelet therapy. The patient was discharged with a plan to perform definitive surgical management when safe to discontinue dual antiplatelets. This is the first confirmed case of defibrillation causing an acetabular fracture. We discuss the various aspects that need to be considered when patients are being worked up for surgery while on dual antiplatelet therapy.

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Section: Discussionmentioning

confidence: 99%