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Review Question - QID 6040

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QID 6040 (Type "6040" in App Search)
Figure 49 shows a histologic section of the lung in a patient who died during total hip arthroplasty. What unexpected finding is seen in the pulmonary capillaries?
  • A

Pulmonary embolism

18%

148/819

Methylmethacrylate cement

70%

575/819

Hemorrhagic infarct

8%

63/819

Granuloma formation

1%

8/819

Amyloid

2%

17/819

  • A

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Sudden death during total hip arthroplasty has been reported. In a report from the Mayo Clinic, intraoperative death occurred during cemented total hip arthroplasty in 23 patients. Fat and marrow embolization during preparation of the femur or cementing of the femoral component was believed to be responsible for the cardiopulmonary collapse that occurred during arthroplasty. Although fat and marrow emboli were found in the pulmonary capillaries of most of the patients on autopsy, this histologic section shows two particles of cement in the pulmonary capillaries.

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