What is wrong in the cava? A rare cause of deep vein thrombosis.
When using cement in a hip arthroplasty, high intramedullary pressures are generated. This may lead to several complications, ranging from local extravasation to systemic complications such as the implantation syndrome. Until now, venous migration of cement after hip arthroplasty has never been associated with morbidity or mortality. We present a case in which cement pressurization led to migration of cement up to the level of the inferior vena cava with subsequent deep vein thrombosis.
Deylgat
Bert
B
Department of General Surgery, Stedelijk Ziekenhuis Roeselare, Belgium. bert.deylgat@hotmail.com
Van Holsbeeck
Bartel
B
Gellens
Pat
P
D000925:Anticoagulants / Q000627:therapeutic use; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D001843:Bone Cements / Q000009:adverse effects*; D003251:Constriction, Pathologic; D005548:Foreign-Body Migration / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D019904:Polymethyl Methacrylate / Q000009:adverse effects*; D015912:Thrombolytic Therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy
D000925:Anticoagulants; D001843:Bone Cements; D019904:Polymethyl Methacrylate