Vertebroplasty and right heart cement embolism

Wang, B; Li, Y; Peng, Yuan; Wu, Yang; Zhang, Li; Li, H; Wang, Jun; Xie, Mingxing; Lv, Qing

doi:10.1093/qjmed/hcaa307

Cited by 4 publications

(10 citation statements)

References 4 publications

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“…However, several reports have described penetration of the heart wall by the cement, resulting in cardiac perforation, 9,11,12 whereas involvement of the tricuspid valve can result in tricuspid regurgitation. [13][14][15][16] In the present case, we presumed that the PMMA had stayed in the right atrium after the procedure. As the heart continued to beat, the PMMA eventually penetrated the right atrial wall and caused pericardial tamponade.…”

Section: Discussionmentioning

confidence: 99%

Life-threatening intracardiac cement embolisms after percutaneous kyphoplasty: a case report and literature review

Huang

2022

J Int Med Res

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Background Percutaneous kyphoplasty is a popular technique in the treatment of osteoporotic vertebral fractures, but intracardiac cement embolism can be a life-threatening complication. Case presentation: The authors present a case involving a patient who developed dyspnea and chest tightness after percutaneous kyphoplasty. Echocardiography and chest computed tomography confirmed several foreign bodies in the right atrium and pulmonary arteries causing cardiac perforation and pericardial tamponade. Conservative treatment was administered, and the patient died of respiratory and heart failure. Conclusions The present case highlights that surgical removal may be the first-choice treatment for symptomatic intracardiac cement embolism.

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Section: Discussionmentioning

confidence: 99%

Life-threatening intracardiac cement embolisms after percutaneous kyphoplasty: a case report and literature review

Huang

2022

J Int Med Res

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“… 3 Pulmonary CT angiography is the gold‐standard diagnostic modality for pulmonary vasculature. 3 Two‐dimensional transthoracic echocardiography can be employed as the first‐line diagnostic approach to evaluate cardiac chambers and intracardiac embolization. Three‐dimensional echocardiography and transesophageal echocardiography could be the best diagnostic instruments to detect cardiac cement embolization inside the cardiac chambers.…”

Section: Discussionmentioning

confidence: 99%

“…Three‐dimensional echocardiography and transesophageal echocardiography could be the best diagnostic instruments to detect cardiac cement embolization inside the cardiac chambers. 3 …”

Section: Discussionmentioning

confidence: 99%

“…Three-dimensional echocardiography and transesophageal echocardiography could be the best diagnostic instruments to detect cardiac cement embolization inside the cardiac chambers. 3 The contrast agents used in CT angiography might hide cement particles in the pulmonary vascular bed. Thus, simple chest X-rays and spiral chest CT scans (without contrast injection) are essential in patients with a history of vertebroplasty to investigate possible cement embolization.…”

Section: Case Descriptionmentioning

confidence: 99%

“… 3 Some cases of right heart cement embolization are asymptomatic or have nonspecific symptoms diagnosed as an incidental finding in imaging studies for other reasons; hence, they are subjected to conservative treatment and follow‐up. 3 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Right atrial and pulmonary cement embolization following vertebral laminectomy: An incidental finding

Borjian

Ayati

et al. 2023

Clinical Case Reports

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Bone Cement Embolism Causing Right Ventricle Perforation

Dai,

Chen,

Pan

et al. 2024

Preprint

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Background: Bone cement embolism is one of major complications of percutaneous kyphoplasty. Although rare, the intracardiac cement embolism is potentially life-threatening, with a documented incidence of 3.9%, and it is even more infrequent if symptomatic (0.3%). Case presentation: Herein, we reported an extremely rare case of intracardiac bone cement embolism after percutaneous kyphoplasty causing right ventricle perforation. A 70-year-old woman, experiencing sudden left chest pain with radiation to the shoulder for 9 hours, was transferred to our emergency department. Two hours before onset of her symptoms, she underwent percutaneous kyphoplasty at the local hospital. The chest computed tomography angiography revealed that an intracardiac foreign body penetrated her right ventricle. In light of her surgical history, bone cement embolism was suspected and thus, the patient was transferred to our center. Computed tomography and echocardiography confirmed the presence of intracardiac linear-shaped foreign body perforating the right ventricle. Therefore, the patient underwent open-heart surgery and the bone cement was removed successfully. Conclusions: Symptomatic intracardiac bone cement embolism is potentially fatal, so the rapid diagnosis and prompt treatment measures based on the cement emboli characteristics and the patient's condition are crucial.

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Vertebroplasty and right heart cement embolism

Cited by 4 publications

References 4 publications

Life-threatening intracardiac cement embolisms after percutaneous kyphoplasty: a case report and literature review

Life-threatening intracardiac cement embolisms after percutaneous kyphoplasty: a case report and literature review

Right atrial and pulmonary cement embolization following vertebral laminectomy: An incidental finding

Bone Cement Embolism Causing Right Ventricle Perforation

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