Intracardiac cement embolus from vertebroplasty

Hayes, Harold; Lukaszewicz, Andrew J.; Mirza, Mohammed H.; Gerasymchuk, Grygori

doi:10.37549/ar2345

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2023

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“…The right ventricular embolus shape in this patient is similar to other embolized cement “spears” found in both asymptomatic cases and symptomatic cases requiring embolectomy [ 4 , 5 , 8 , 9 ]. In previous cases featuring a cement spear in the right ventricle and no subsequent embolectomy, the patients remained asymptomatic over several years after multidisciplinary consultation and a risk-benefit analysis [ 10 , 11 ]. Cases have also been presented with medically managed treatment of symptoms discovered days to weeks after surgery [ 12 - 14 ].…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic Intracardiac Cement Embolism Following Kyphoplasty

Setty,

Gimarc,

Abrahams

et al. 2023

Cureus

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Cement extravasation can occur during vertebral body augmentation such as kyphoplasty and vertebroplasty with diverse presentation and resultant treatment. The cement can embolize through venous vasculature to the thorax where it poses a potential threat to the cardiovascular and pulmonary systems. A thorough risk-benefit analysis should be conducted to select the appropriate treatment course. We present an asymptomatic case of cement extravasation to the heart and lungs during kyphoplasty.

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