What is the probable cause of death among these; shock, arterial emboli, fat embolism and stress?

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What is the probable cause of death among these; shock, arterial emboli, fat embolism and stress?

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A 40 year old patient git a car accident and he was found to have femoral shaft fracture and then he suddenly developed dyspnea, cyanosis and shock and passed away immediately after surgery. There was no massive blood loss at the time of trauma or during surgery.
clinical case
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