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CASE REPORTS - A Case of Fatal Paradoxical Fat Embolism Syndrome Detected by Intraoperative Transesophageal Echocardiography - IMPLICATIONS: We present a case of paradoxical fat embolism syndrome detected by intraoperative transesophageal echocardiography during surgical fracture treatment of the lower extremity. The patient developed global edema in both cerebral hemispheres from fat embolism syndrome and died regardless of mild brain hypothermia. Contrast transesophageal echocardiography and bronchoalveolar lavage fluid confirmed the diagnosis./
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