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Báo cáo y học: " Fatal pulmonary embolism following shoulder arthroplasty: a case report"
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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài:Fatal pulmonary embolism following shoulder arthroplasty: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Fatal pulmonary embolism following shoulder arthroplasty a case report Thayur R Madhusudhan1 Sanath K Shetty1 Savitha Madhusudhan2 and Amit Sinha1 Addresses department of Trauma and Orthopaedics Glan Clwyd hospital Rhyl LL18 5UJ UK department of Ophthalmology H M Stanley Hospital St. Asaph LL170RS UK Email TRM - trmadhusudhan@gmail.com SKS - sanatusha@yahoo.com SM - savi1102@yahoo.com AS - amitani2000@yahoo.co.in Corresponding author Received 1 January 2009 Accepted 29 May 2009 Published 31 July 2009 Journal ofMedical Case Reports 2009 3 8708 doi 10.4076 1752-1947-3-8708 This article is available from http jmedicalcasereports.com jmedicalcasereports article view 8708 2009 Madhusudhan et al. licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.Org licenses by 3.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Fatal pulmonary embolism following a shoulder joint replacement is a rare event. The exact prevalence of shoulder arthroplasties is not clear. Unlike hip and knee joint replacements where some form of thromboprophylaxis is routinely prescribed no such guidelines and practice exist for shoulder replacements. Other case reports have confirmed fatal and non-fatal pulmonary embolisms following shoulder replacements but particular risk factors were identifiable in those patients. Case presentation We report the case of a 73-year-old Caucasian woman with fatal pulmonary embolism secondary to a calf deep vein thrombosis following a shoulder joint replacement procedure. The patient was otherwise healthy there were no other risk factors directly contributing to deep vein thrombosis and pulmonary embolism except for a body mass index of 34. Post-mortem examination confirmed that the patient had a thrombus in the calf and