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European Journal of Plastic Surgery

, Volume 42, Issue 5, pp 509–512 | Cite as

Liposuction fat emboli resulting in myocardial infarction: a case report and review of the literature

  • Luke J. GromeEmail author
  • Erica Bartlett
  • Shayan Izaddoost
Case Report
  • 31 Downloads

Abstract

Liposuction is a well-tolerated and safe procedure performed by plastic surgeons. Rare, major complications include infection, perforation of abdominal wall/viscus, and fat emboli. Fat emboli, seen more often after long bone fractures, are rarely associated with liposuction. We report the only known case of myocardial infarction (MI) secondary to fat embolism in the setting of post-procedural liposuction. A review of the literature was undertaken to elucidate the pathophysiology of liposuction-associated fat embolism, identify patient and procedural risk factors, discuss diagnostic criterion, and identify management of this rare but potentially fatal complication.

Level of Evidence: V

Type of study: Risk study

Keywords

Suction assisted lipectomy Liposuction Fat emboli Fat emoli syndrome Myocardial infarction 

Notes

Compliance with ethical standards

Conflicts of interest

Dr. Grome, Dr. Bartlett, and Dr. Izaddoost declare that they have no conflict of interest.

Patient consent

All patient information has been de-identified and informed consent was obtained from all individual participants included in the study.

Funding

There was no funding provided for this study.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

References

  1. 1.
    Lehnhardt M, Homann HH, Daigeler A, Hauser J, Palka P, Steinau HU (2008) Major and lethal complications of liposuction: a review of 72 cases in Germany between 1998 and 2002. Plast Reconstr Surg 121(6):396e–403eCrossRefGoogle Scholar
  2. 2.
    Housman TS, Lawrence N, Mellen BG, George MN, Filippo JS, Cerveny KA, DeMarco M, Feldman SR, Fleischer AB (2002) The safety of liposuction: results of a national survey. Dermatologic Surg 28(11):971–978Google Scholar
  3. 3.
    Cárdenas-Camarena L, Andrés Gerardo L-P, Durán H, Bayter-Marin JE (2017) Strategies for reducing fatal complications in liposuction. Plast Reconstr Surg - Glob Open 5(10):e1539CrossRefGoogle Scholar
  4. 4.
    Kenkel JM, Brown SA, Love EJ, Waddle JP, Krueger JE, Noble D, Robinson JB Jr, Rohrich RJ (2004) Hemodynamics, electrolytes, and organ histology of larger-volume liposuction in a porcine model. Plast Reconstr Surg 113(5):1391–1399CrossRefGoogle Scholar
  5. 5.
    Laub DR (1990) Fat embolism syndrome after liposuction: a case report and review of the literature. Ann Plast Surg 25(1):48–52CrossRefGoogle Scholar
  6. 6.
    Şenen D, Atakul D, Erten G, Erdoǧan B, Lortlar N (2009) Evaluation of the risk of systemic fat mobilization and fat embolus following liposuction with dry and tumescent technique: an experimental study on rats. Aesthet Plast Surg 33(5):730–737CrossRefGoogle Scholar
  7. 7.
    Mentz HA (2008) Fat emboli syndromes following liposuction. Aesthet Plast Surg 32(5):737–738CrossRefGoogle Scholar
  8. 8.
    Cárdenas-Camarena L (2003) Lipoaspiration and its complications: a safe operation. Plast Reconstr Surg 112(5):1435–1441CrossRefGoogle Scholar
  9. 9.
    Astarita DC, Scheinin LA, Sathyavagiswaran L (2015) Fat transfer and fatal macroembolization. J Forensic Sci 60(2):509–510CrossRefGoogle Scholar
  10. 10.
    Rao RB, Ely SF, Hoffman RS (1999) Deaths Releated to liposuction. N Engl J Med 340(19):1471–1475CrossRefGoogle Scholar
  11. 11.
    Wang HD, Zheng JH, Deng CL, Liu QY, Yang SL (2008) Fat embolism syndromes following liposuction. Aesthet Plast Surg 32(5):731–736CrossRefGoogle Scholar
  12. 12.
    Ross R, Johnson G (1988) Fat embolism after liposuction. Chest. 93:1294–1295CrossRefGoogle Scholar
  13. 13.
    Akhtar S (2009) Fat Embolism. Anesthesiol Clin 27(3):533–550CrossRefGoogle Scholar
  14. 14.
    Newbigin K, Souza CA, Armstrong M, Pena E, Inacio J, Gupta A, Rakhra K (2016) Fat embolism syndrome: do the CT findings correlate with clinical course and severity of symptoms? A clinical-radiological study. Eur J Radiol 85(2):422–427CrossRefGoogle Scholar
  15. 15.
    Maghrebi S, Cheikhrouhou H, Triki Z, Karoui A (2017) Transthoracic echocardiography in fat embolism: a real-time diagnostic tool. J Cardiothorac Vasc Anesth 31(3):e47–e48CrossRefGoogle Scholar
  16. 16.
    Kwaitt ME, Seamon MJ (2013) Fat embolism syndrome. Int J Crit Illn Inj Sci 3(1):64–68CrossRefGoogle Scholar
  17. 17.
    Ferrari F, Navarro LH, do Nascimento P Jr et al (2008) Coronary spasm as a trigger of acute myocardial infarction in a young patient submitted to liposuction. Plast Reconstr Surg 121(3):146e–147eCrossRefGoogle Scholar
  18. 18.
    Souza R, Apgaua B, Milhomens J (2016) Severe fat embolism in perioperative abdominal liposuction and fat grafting. Rev Bras Anestesiol 66(3):324–328CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Surgery, Division of Plastic and Reconstructive SurgeryBaylor College of MedicineHoustonUSA
  2. 2.Department of Molecular and Cellular BiologyBaylor College of MedicineHoustonUSA

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