title: Severe Acute Traumatic Mitral Regurgitation, Cardiogenic Shock Secondary to Embolized Polymethylmethracrylate Cement Foreign Body After a Percutaneous Vertebroplasty.
abstract: We report the case of a 61-year-old woman with acute decompensated heart failure secondary to acute traumatic mitral regurgitation, resulting from polymethylmethacrylate cement found in the left ventricle less than 24 hours after fluoroscopic percutaneous vertebroplasty. The patient had a history of ovarian cancer and had undergone treatment for symptomatic osteoporotic compression fractures of the vertebrae (T11, L1, and L3). The patient underwent a successful emergency open-heart operation, mitral valve replacement, closure of an atrial septal defect, and video-assisted removal of the cement foreign body from the left ventricle. The patient was later discharged with a good outcome.
authors.affiliation: Department of Surgical Critical Care, Allegheny General Hospital, Pittsburgh, Pennsylvania.
authors.forename: Subbarao
authors.initials: S
authors.lastname: Elapavaluru
authors.affiliation: Pulmonary Department, Allegheny General Hospital, Pittsburgh, Pennsylvania.
authors.forename: Sulaiman
authors.initials: S
authors.lastname: Alhassan
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Allegheny General Hospital, Pittsburgh, Pennsylvania.
authors.forename: Fawad
authors.initials: F
authors.lastname: Khan
authors.affiliation: Department of Interventional Cardiology, Allegheny General Hospital, Pittsburgh, Pennsylvania.
authors.forename: Ramzi
authors.initials: R
authors.lastname: Khalil
authors.affiliation: Department of General Cardiology and Echocardiography, Allegheny General Hospital, Pittsburgh, Pennsylvania.
authors.forename: Amy
authors.initials: A
authors.lastname: Schuett
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Allegheny General Hospital, Pittsburgh, Pennsylvania. Electronic address: sbailey2@wpahs.org.
authors.forename: Stephen
authors.initials: S
authors.lastname: Bailey
mesh_terms: D000208:Acute Disease; D006328:Cardiac Catheterization / Q000379:methods; D002315:Cardiopulmonary Bypass / Q000379:methods; D017548:Echocardiography, Transesophageal / Q000379:methods; D004638:Emergency Treatment; D005260:Female; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000150:complications*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D006801:Humans; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D015663:Osteoporosis, Postmenopausal / Q000150:complications / Q000000981:diagnostic imaging; D019904:Polymethyl Methacrylate / Q000009:adverse effects*; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D011859:Radiography; D012720:Severity of Illness Index; D012770:Shock, Cardiogenic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D016896:Treatment Outcome; D054854:Vertebroplasty / Q000009:adverse effects* / Q000379:methods
chemical_list: D019904:Polymethyl Methacrylate