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A spear to the heart-the accidental discovery of a giant cement embolism in the right heart: a case report.

ABSTRACT:

Background

The incidence of recognized cardiopulmonary cement embolism in the context of percutaneous vertebroplasty varies between 0% and 23%. In most cases, only small fragments embolize in the pulmonary arteries or the right heart cavities. The latter can cause potential harm by right ventricular perforation.

Case summary

A 57-year-old patient was admitted to our department of cardiology due to exertional dyspnoea and chest pain. In the course of further diagnostic tests, a huge cement embolus was accidentally discovered in the right ventricle. The unusual size and length and the threat of ventricular perforation make this case so unique.

Discussion

Large cement embolisms in kyphoplasty settings are possible and associated with the risk of fulminant complications.

SUBMITTER: Lambers M

PROVIDER: S-EPMC8633739 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature

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A spear to the heart-the accidental discovery of a giant cement embolism in the right heart: a case report.

Lambers Moritz M Bruder Oliver O Wieneke Heinrich H Nassenstein Kai K

European heart journal. Case reports 20210825 11

<h4>Background</h4>The incidence of recognized cardiopulmonary cement embolism in the context of percutaneous vertebroplasty varies between 0% and 23%. In most cases, only small fragments embolize in the pulmonary arteries or the right heart cavities. The latter can cause potential harm by right ventricular perforation.<h4>Case summary</h4>A 57-year-old patient was admitted to our department of cardiology due to exertional dyspnoea and chest pain. In the course of further diagnostic tests, a hug ...[more]

PMID: 34859179

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