An intraatrial thrombus and pulmonary thromboembolism as a late complication of percutaneous vertebroplasty.
Although percutaneous vertebroplasty is a simple and generally safe method for the management of vertebral compression fractures, cement leakage outside the vertebral body is a potential source of serious complications. We report a patient who presented with dyspnea and edema five years after percutaneous vertebroplasty and underwent open-heart surgery. This case demonstrates an intraatrial thrombus and pulmonary thromboembolism caused by venous leakage of polymethylmethacrylate as a late complication of the procedure.
Lim
Kyoung J
KJ
Department of Anesthesiology, College of Medicine, Seoul National University, Seoul, Korea.
Yoon
Seung Z
SZ
Jeon
Yun-Seok
YS
Bahk
Jae H
JH
Kim
Chong S
CS
Lee
Jong-Hwan
JH
Ha
Jin Wook
JW
D001843:Bone Cements / Q000009:adverse effects*; D005260:Female; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology*; D050815:Fractures, Compression / Q000601:surgery; D006325:Heart Atria / Q000000981:diagnostic imaging; D006503:Hepatic Veins / Q000000981:diagnostic imaging; D006801:Humans; D008159:Lumbar Vertebrae / Q000601:surgery; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects; D019637:Orthopedic Procedures / Q000009:adverse effects*; D019904:Polymethyl Methacrylate / Q000009:adverse effects*; D011655:Pulmonary Embolism / Q000209:etiology*; D016103:Spinal Fractures / Q000601:surgery; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging
D001843:Bone Cements; D019904:Polymethyl Methacrylate