Cardiac tamponade and pulmonary embolism as a complication of percutaneous vertebroplasty.
Percutaneous vertebroplasty is a useful and safe therapeutic intervention to stabilize vertebral fractures. Rarely, cement leakage into the paravertebral venous system may result in embolization of its particles into the right cardiac chambers and pulmonary artery. We experienced a case of a 64-year-old woman who was diagnosed through echocardiography as having cardiac tamponade. Previously, the patient was treated for pulmonary cement embolization after percutaneous vertebroplasty. Prompt diagnosis and urgent surgery, in which a few linear cement particles of 1-cm to 2-cm long were discovered within the pericardial space, which resulted in a favorable outcome.
Caynak
Baris
B
Department of Cardiovascular Surgery and Radiology, Florence Nightingale Hospital, Istanbul Bilim University, Istanbul, Turkey.
Onan
Burak
B
Sagbas
Ertan
E
Duran
Cihan
C
Akpinar
Belhhan
B
D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology; D004638:Emergency Treatment / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D020519:Pericardiocentesis / Q000379:methods; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D011859:Radiography; D035583:Rare Diseases; D018570:Risk Assessment; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000628:therapy*; D013904:Thoracic Vertebrae / Q000293:injuries*; D013908:Thoracotomy / Q000379:methods; D015912:Thrombolytic Therapy / Q000379:methods; D016896:Treatment Outcome; D054854:Vertebroplasty / Q000009:adverse effects* / Q000379:methods