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Cardiac cobaltism: a rare complication after bilateral metal-on-metal total hip arthroplasty.

ABSTRACT: This is one of the first documented cases of metal-on-metal (MoM) total hip arthroplasty cobalt cardiac toxicity that has led to patient death. A 69-year-old female presented to our institution with cardiac failure secondary to cobalt toxicity resulting from bilateral MoM total hip arthroplasty. Her presenting metal ion levels were a cobalt level of 199 ppb and a chromium level of 77 ppb. She underwent bilateral femoral revisions to remove the source of cobalt. On postoperative day 7, the patient sustained a cerebral infarct and eventually expired because of the insult. This case represents one of the first documented fatalities related to MoM cobalt cardiac toxicity.

SUBMITTER: Martin JR

PROVIDER: S-EPMC4958119 | biostudies-literature | 2015 Dec

REPOSITORIES: biostudies-literature

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Cardiac cobaltism: a rare complication after bilateral metal-on-metal total hip arthroplasty.

Martin John R JR Spencer-Gardner Luke L Camp Christopher L CL Stulak John M JM Sierra Rafael J RJ

Arthroplasty today 20151121 4

This is one of the first documented cases of metal-on-metal (MoM) total hip arthroplasty cobalt cardiac toxicity that has led to patient death. A 69-year-old female presented to our institution with cardiac failure secondary to cobalt toxicity resulting from bilateral MoM total hip arthroplasty. Her presenting metal ion levels were a cobalt level of 199 ppb and a chromium level of 77 ppb. She underwent bilateral femoral revisions to remove the source of cobalt. On postoperative day 7, the patien ...[more]

PMID: 28326382

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