Pulmonary embolism and intracardiac foreign bodies caused by bone cement leakage: a case report and literature review

被引:1
作者
Zhao, Zihan [1 ,2 ]
Wang, Ranran [1 ,2 ]
Gao, Lihua [1 ,2 ]
Zhang, Meijing [1 ,2 ,3 ]
机构
[1] Aerosp Ctr Hosp, Cardiac Dept, Beijing, Peoples R China
[2] Peking Univ, Aerosp Sch Clin Med, Beijing, Peoples R China
[3] Peking Univ, Aerosp Sch Clin Med, Aerosp Ctr Hosp, Cardiac Dept, 15 Yuquan Rd, Beijing 100049, Peoples R China
关键词
Percutaneous vertebroplasty; Bone cement; Pulmonary embolism; Cardiac foreign body; Multiple organ embolism; PERCUTANEOUS VERTEBROPLASTY; COMPRESSION FRACTURES; KYPHOPLASTY;
D O I
10.1186/s13019-024-03049-3
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Percutaneous vertebroplasty (PVP) is a surgical procedure that involves injecting polymethylmethacrylate (PMMA) bone cement into the diseased vertebrae to rapidly relieve pain and strengthen the vertebrae. We reported a 73-year-old patient who underwent percutaneous vertebroplasty (PVP) surgery for thoracolumbar vertebral compression fracture. After the surgery, the patient experienced symptoms such as chest tightness and dyspnea. Further examination revealed multiple high-density foreign bodies in the blood vessels/heart and concomitant multi-organ dysfunction. It was considered that the multi-organ embolism was caused by bone cement leakage. The patient improved after undergoing surgical treatment and anticoagulant therapy.
引用
收藏
页数:6
相关论文
共 21 条
[1]   Intracardiac Leakage of Cement During Kyphoplasty and Vertebroplasty: A Case Report [J].
Audat, Ziad A. ;
Alfawareh, Mohammad D. ;
Darwish, Fayeq T. ;
Alomari, Ali A. .
AMERICAN JOURNAL OF CASE REPORTS, 2016, 17 :326-330
[2]  
Buchbinder R, 2018, COCHRANE DB SYST REV, DOI [10.1002/14651858.CD006349.pub4, 10.1002/14651858.CD006349.pub3]
[3]   Pullout strength of pedicle screws with cement augmentation in severe osteoporosis: A comparative study between cannulated screws with cement injection and solid screws with cement pre-filling [J].
Chen, Lih-Huei ;
Tai, Ching-Lung ;
Lee, De-Mei ;
Lai, Po-Liang ;
Lee, Yen-Chen ;
Niu, Chi-Chien ;
Chen, Wen-Jer .
BMC MUSCULOSKELETAL DISORDERS, 2011, 12
[4]   Intracardiac cement embolism resulting in tricuspid regurgitation [J].
Duijvelshoff, Renee ;
Anthonissen, Nathalie F. M. ;
Morshuis, Wim J. ;
Van Garsse, Leen .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2019, 55 (02) :366-368
[5]   Anatomical and pathological considerations in percutaneous vertebroplasty and kyphoplasty: A reappraisal of the vertebral venous system [J].
Groen, RJM ;
du Toit, DF ;
Phillips, FM ;
Hoogland, PVJM ;
Kuizenga, K ;
Coppes, MH ;
Muller, CJF ;
Grobbelaar, M ;
Mattyssen, J .
SPINE, 2004, 29 (13) :1465-1471
[6]   Risk Factors for Pulmonary Cement Embolism (PCE) After Polymethylmethacrylate Augmentation: Analysis of 32 PCE Cases [J].
Guo, Huizhi ;
Huang, Huasheng ;
Shao, Yang ;
Qin, Qiuli ;
Liang, De ;
Zhang, Shuncong ;
Tang, Yongchao .
NEUROSPINE, 2021, 18 (04) :806-815
[7]   Comparing percutaneous kyphoplasty with bone cement-augmented pedicle screw fixation in severe thoracolumbar osteoporotic vertebral compression fracture [J].
Han, Fei ;
Chen, Haidan ;
Zhao, Hongwei .
ASIAN JOURNAL OF SURGERY, 2024, 47 (01) :558-559
[8]   Intracardiac cement embolism during percutaneous vertebroplasty: incidence, risk factors and clinical management [J].
Hassani, Sarah Fadili ;
Cormier, Evelyne ;
Shotar, Eimad ;
Drir, Mehdi ;
Spano, Jean-Philippe ;
Morardet, Laetitia ;
Collet, Jean-Philippe ;
Chiras, Jacques ;
Clarencon, Frederic .
EUROPEAN RADIOLOGY, 2019, 29 (02) :663-673
[9]  
Hatzantonis C, Intracardiac bone cement embolism as a complication of vertebroplasty: management strategy
[10]   Balloon kyphoplasty versus percutaneous vertebroplasty for osteoporotic vertebral body compression fractures: clinical and radiological outcomes [J].
Jindal, Vasu ;
Binyala, Shrey ;
Kohli, Sarabjeet Singh .
SPINE JOURNAL, 2023, 23 (04) :579-584