title: Thread-like Bone Cement in the Right-side Heart and Pulmonary Arteries Causing Diffuse Pulmonary Embolism as a Late Complication.
abstract: Pulmonary embolism (PE) is usually associated with deep vein thrombosis (DVT) in the lower extremities. However, foreign bodies in the pulmonary arteries can rarely cause PE without evidence of DVT. In this report, we present a case of diffuse PE associated with a migrated thread-like structure of the right-side heart and pulmonary arteries in a 70 year-old woman. The patient underwent several episodes of percutaneous vertebroplasty (PV) to treat compression fractures. The thread-like foreign bodies were identified as the bone cement injected during the previous PV procedures. We present this case study to emphasise that clinicians should consider the possibility of PE as a late complication, especially those with a history of PV.
authors: Department of Cardiology in Internal Medicine, School of Medicine, Chungnam National University, Chungnam National University Hospital, Daejeon, Korea.
authors: Jin Kyung
authors: JK
authors: Oh
authors: Department of Cardiology in Internal Medicine, School of Medicine, Chungnam National University, Chungnam National University Hospital, Daejeon, Korea. Electronic address: jaehpark@cnu.ac.kr.
authors: Jae-Hyeong
authors: JH
authors: Park
authors: Division of Cardiothoracic Radiology, Department of Radiology, School of Medicine, Chungnam National University, Chungnam National University Hospital, Daejeon, Korea.
authors: Song Soo
authors: SS
authors: Kim
authors: Department of Cardiology in Internal Medicine, School of Medicine, Chungnam National University, Chungnam National University Hospital, Daejeon, Korea.
authors: Ji Hye
authors: JH
authors: Han
authors: Department of Cardiology in Internal Medicine, School of Medicine, Chungnam National University, Chungnam National University Hospital, Daejeon, Korea.
authors: Hee Jin
authors: HJ
authors: Kwon
authors: Department of Cardiology in Internal Medicine, School of Medicine, Chungnam National University, Chungnam National University Hospital, Daejeon, Korea.
authors: Jun Hyung
authors: JH
authors: Kim
authors: Department of Cardiology in Internal Medicine, School of Medicine, Chungnam National University, Chungnam National University Hospital, Daejeon, Korea.
authors: Jae-Hwan
authors: JH
authors: Lee
authors: Department of Cardiology in Internal Medicine, School of Medicine, Chungnam National University, Chungnam National University Hospital, Daejeon, Korea.
authors: Si-Wan
authors: SW
authors: Choi
authors: Department of Cardiology in Internal Medicine, School of Medicine, Chungnam National University, Chungnam National University Hospital, Daejeon, Korea.
authors: Jin-Ok
authors: JO
authors: Jeong
authors: Department of Cardiology in Internal Medicine, School of Medicine, Chungnam National University, Chungnam National University Hospital, Daejeon, Korea.
authors: In-Whan
authors: IW
authors: Seong
mesh_terms: D000368:Aged; D001843:Bone Cements / Q000009:adverse effects* / Q000494:pharmacology; D003331:Coronary Vessels / Q000473:pathology / Q000503:physiopathology; D005260:Female; D050815:Fractures, Compression / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000473:pathology / Q000503:physiopathology; D011651:Pulmonary Artery / Q000473:pathology / Q000503:physiopathology; D011655:Pulmonary Embolism / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D016103:Spinal Fractures / Q000601:surgery*; D054854:Vertebroplasty / Q000009:adverse effects*
chemical_list: D001843:Bone Cements
keywords: Bone cement; Computerised tomography; Echocardiography; Percutaneous vertebroplasty; Pulmonary embolism