Severe fat embolism in perioperative abdominal liposuction and fat grafting

Souza, Rita de Cássia de; Apgaua, Bruno Tavares; Milhomens, João Daniel; Albuquerque, Francisco Tadeu Motta; Carneiro, Luiz Antônio; Mendes, Márcio Henrique; Garcia, Tiago Carvalho; Paiva, Clerisson; Ladeia, Felipe; Jeunon, Deiler Célio

doi:10.1016/j.bjane.2013.11.006

Cited by 9 publications

(10 citation statements)

References 12 publications

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“…There have been case reports of pulmonary and cerebral fat embolism after liposuction . But to our knowledge, this is the first reported case of multiple coronary occlusion due to suspected coronary fat embolism after liposuction.…”

Section: Discussionmentioning

confidence: 75%

“…Fat embolism after liposuction is a rare complication, with fat embolism syndrome (FES) resulting in a 5%–15% mortality . There have been reports of fat emboli to the pulmonary and cerebral circulation as a result of liposuction . But we report the first case, to our knowledge, of suspected fat embolism to the coronary arteries after liposuction.…”

Section: Introductionmentioning

confidence: 84%

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Suspected coronary fat embolism after liposuction

Thamwiwat

Sudhakar

Paniagua

et al. 2018

Cathet Cardio Intervent

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A 38-year-old female presented with chest pain and ST elevation on electrocardiogram after an outpatient liposuction procedure. Emergent coronary angiography revealed complete occlusion of multiple coronary arteries, with fat embolism as the suspected etiology. Attempts to restore distal coronary flow with balloon dilatation, aspiration with Pronto catheter, and distal adenosine administration resulted in minimal improvement in flow. The material aspirated was consistent with fat. With supportive therapy, including Impella CP support, the patient's clinical condition improved. To our knowledge, this is the first reported case of multiple coronary occlusion after liposuction.

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Section: Discussionmentioning

confidence: 75%

Section: Introductionmentioning

confidence: 84%

Suspected coronary fat embolism after liposuction

Thamwiwat

Sudhakar

Paniagua

et al. 2018

Cathet Cardio Intervent

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“…Our patient had none of the usual signs and symptoms of SLE [ 2 ]. Liposuction has been reported as a risk factor for fat embolism [ 8 ]. The observed CT findings in fat embolism include opacities, nodules, and areas of consolidation, mostly in the upper lobes [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Systemic Lupus Erythematosus Presenting as Pulmonary Embolism After Liposuction: A Clinical Conundrum

Kumar

Ghazanfar

Altaf

2021

Cureus

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Systemic lupus erythematosus (SLE) is an autoimmune disorder with a wide array of presentations and a predilection to affect women of certain ethnic backgrounds. The hallmark of the disease is multisystem involvement, dispersed in time and severity. Usual pulmonary involvement includes pleuritis, pleural effusions, pneumonitis, shrinking lung syndrome, pulmonary hypertension, and alveolar hemorrhage. Pulmonary embolism (PE) is a relatively unusual presentation of SLE. We present the case of a 28-year-old Hispanic female who presented with shortness of breath and chest pain after liposuction and was found to have a PE. Fat embolism was ruled out. The absence of overt signs and symptoms and traditional risk factors prompted a fragmentary workup. This led to the detection of antibodies sensitive and specific for SLE, in the absence of overt signs and symptoms. We revive the concept of latent lupus, a condition construed as early lupus. Since our patient was lost to follow up, we were unable to complete workup for SLE, but firmly suspect direct causation between SLE and PE. Further studies are needed to establish pathogenesis in order to facilitate early diagnosis and prevent morbidity and mortality from PE.

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“…Less than 2% of FES patients have typical dyspnea, delirium, and skin petechiae. [ 24 ] A large number of FE patients are missed. Therefore, it is speculated that other patients are likely to have asymptomatic FE.…”

Section: Discussionmentioning

confidence: 99%