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Ann Indian Acad Neurol. 2013 Jan;16(1):103-5. doi: 10.4103/0972-2327.107716.

A rare cause of perioperative stroke.

Annals of Indian Academy of Neurology

Sapna Erat Sreedharan, P Gayatri, P N Sylaja

Affiliations

  1. Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.

PMID: 23661976 PMCID: PMC3644767 DOI: 10.4103/0972-2327.107716

Abstract

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.

Keywords: Paradoxical embolism; perioperative stroke; pulmonary arteriovenous fistulae

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