{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:31:45Z","timestamp":1777447905201,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2022,3,25]],"date-time":"2022-03-25T00:00:00Z","timestamp":1648166400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:p>Fat embolism syndrome (FES) is a multisystem process predominantly secondary to long bone\/pelvic fractures and orthopedic procedures. A 19-year-old man presents after motor vehicle collision with trace right pneumothorax, right grade 3 kidney laceration, left pubic rami, and right femoral shaft fractures. Right femur closed reduction ensued and he underwent intramedullary nailing; his other injuries were managed nonoperatively. Upon awakening in recovery, he was newly aphasic. Despite negative repeat CT brain, he continued to worsen and became tachycardic and hypoxemic. MRI\/MRA brain demonstrated innumerable bilateral frontal, parietal, and occipital acute ischemic infarcts in a starfield pattern. Echocardiogram revealed a PFO. With supportive care, he improved and was discharged with planned outpatient PFO closure. One month later, he had complete symptom resolution with return to neurologic baseline. FES is a potentially devastating condition which may include cerebral fat embolism (CFE) with outcomes varying widely from mortality to complete recovery.<\/jats:p>","DOI":"10.1177\/00031348221082270","type":"journal-article","created":{"date-parts":[[2022,3,25]],"date-time":"2022-03-25T15:57:00Z","timestamp":1648223820000},"page":"1534-1536","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Cerebral Fat Embolism via a Patent Foramen Ovale"],"prefix":"10.1177","volume":"88","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0231-8170","authenticated-orcid":false,"given":"Megan A.","family":"Cibulas","sequence":"first","affiliation":[{"name":"Department of Surgery, Memorial Healthcare System General Surgery Residency Program, Hollywood, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eddy H.","family":"Carrillo","sequence":"additional","affiliation":[{"name":"Division of Trauma and Acute Care Surgery, Memorial Healthcare System, Hollywood, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seong K.","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Trauma and Acute Care Surgery, Memorial Healthcare System, Hollywood, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew A.","family":"Rosenthal","sequence":"additional","affiliation":[{"name":"Division of Trauma and Acute Care Surgery, Memorial Healthcare System, Hollywood, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,3,25]]},"reference":[{"key":"bibr1-00031348221082270","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2020.09.268"},{"key":"bibr2-00031348221082270","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2006.08.035"},{"key":"bibr3-00031348221082270","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198971030-00004"},{"key":"bibr4-00031348221082270","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(83)90269-6"}],"container-title":["The American Surgeon"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221082270","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348221082270","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221082270","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:36:13Z","timestamp":1777379773000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/00031348221082270"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,25]]},"references-count":4,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2022,7]]}},"alternative-id":["10.1177\/00031348221082270"],"URL":"https:\/\/doi.org\/10.1177\/00031348221082270","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,25]]}}}