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Bone cement cardiac and pulmonary embolism.
Cianciulli, Tomás F; Mc Loughlin, Diego E; Morita, Luis A; Saccheri, María C; Lax, Jorge A.
Afiliação
  • Cianciulli TF; Department of Cardiology, Hospital of the Government of the City of Buenos Aires "Dr. Cosme Argerich", Capital Federal, Buenos Aires, Argentina.
  • Mc Loughlin DE; Researcher of the Ministry of Health, Government of the City of Buenos Aires, Buenos Aires, Argentina.
  • Morita LA; Department of Cardiology, Hospital of the Government of the City of Buenos Aires "Dr. Cosme Argerich", Capital Federal, Buenos Aires, Argentina.
  • Saccheri MC; Department of Cardiology, Hospital of the Government of the City of Buenos Aires "Dr. Cosme Argerich", Capital Federal, Buenos Aires, Argentina.
  • Lax JA; Department of Cardiology, Hospital of the Government of the City of Buenos Aires "Dr. Cosme Argerich", Capital Federal, Buenos Aires, Argentina.
Echocardiography ; 34(8): 1239-1241, 2017 Aug.
Article em En | MEDLINE | ID: mdl-28573824
This case describes a complication of bone cement use. A 65-year-old male patient with back spine trauma caused by a fall, underwent a percutaneous vertebroplasty. Five years later, he consulted for palpitations, and the electrocardiogram showed supraventricular arrhythmia. A transthoracic two-dimensional echocardiography showed a hyperechogenic linear structure of 7 cm length, running from the lateral wall of the right ventricle to the right atrium through the tricuspid valve. This foreign body, which was suspicious for bone cement embolism, appeared rigid and was attached at the lateral wall of the right ventricle, with its proximal end free in the right atrium. The tip of the cement embolus was inside the myocardium of the lateral wall of the right ventricle, with risk of cardiac perforation. A fluoroscopy was performed, which confirmed the presence of cement within the right heart, with great mobility in each cardiac cycle. Chest computed tomography (CT) and multidetector CT three-dimensional reconstruction confirmed the presence of cement within the right heart. Chest CT showed two pulmonary embolisms, one in the right upper lobe and one in the left lower pulmonary lobe. This case emphasizes the risk of late clinical manifestations of cardiac and pulmonary embolism of methylmethacrylate after percutaneous vertebroplasty, suggesting that the risk of such embolism might be underestimated. We propose routine chest radiography, two-dimensional echocardiography, and chest CT after every percutaneous vertebroplasty, to detect asymptomatic cardiac and pulmonary embolism and thereby prevent serious delayed cardiopulmonary failures.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Embolia Pulmonar / Cimentos Ósseos / Migração de Corpo Estranho / Vertebroplastia / Cardiopatias Tipo de estudo: Diagnostic_studies Limite: Aged / Humans / Male Idioma: En Revista: Echocardiography Assunto da revista: CARDIOLOGIA / DIAGNOSTICO POR IMAGEM Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Argentina País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Embolia Pulmonar / Cimentos Ósseos / Migração de Corpo Estranho / Vertebroplastia / Cardiopatias Tipo de estudo: Diagnostic_studies Limite: Aged / Humans / Male Idioma: En Revista: Echocardiography Assunto da revista: CARDIOLOGIA / DIAGNOSTICO POR IMAGEM Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Argentina País de publicação: Estados Unidos