title: Cardiac perforation caused by cement after percutaneous balloon kyphoplasty.
abstract: Percutaneous balloon kyphoplasty is a relatively simple, convenient, and minimally invasive procedure in which polymethylmethacrylate bone cement is used to manage back pain and spinal instability associated with osteoporotic compression fractures and other osteolytic spinal lesions. However, cement leakage into the venous system is a serious complication following percutaneous balloon kyphoplasty. A 74-year-old woman presented with cardiac perforation and pulmonary embolism caused by cement leakage into her venous system. She subsequently underwent surgery to effectively remove a needle-shaped cement piece from the right ventricular wall, without cardiopulmonary bypass and cardiac arrest.
authors.affiliation: Maebashi Red Cross Hospital, Maebashi-city, Gunma, Japan.
authors.forename: Kazunori
authors.initials: K
authors.lastname: Ishikawa
authors.affiliation: Maebashi Red Cross Hospital, Maebashi-city, Gunma, Japan.
authors.forename: Hiroki
authors.initials: H
authors.lastname: Hayashi
authors.affiliation: Maebashi Red Cross Hospital, Maebashi-city, Gunma, Japan.
authors.forename: Hideaki
authors.initials: H
authors.lastname: Mori
mesh_terms: D000368:Aged; D001843:Bone Cements / Q000009:adverse effects*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D017023:Coronary Angiography; D004452:Echocardiography; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006335:Heart Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D006801:Humans; D058498:Kyphoplasty / Q000009:adverse effects*; D008159:Lumbar Vertebrae; D011183:Postoperative Complications; D016103:Spinal Fractures / Q000601:surgery*; D014057:Tomography, X-Ray Computed
chemical_list: D001843:Bone Cements
keywords: Bone cements; Foreign bodies; Fracture fixation; Heart injuries; Polymethyl methacrylate; Pulmonary embolism; internal