Pulmonary embolism and intracardiac foreign bodies caused by bone cement leakage: a case report and literature review.

IF 1.5 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Cardiothoracic Surgery Pub Date : 2024-09-23 DOI:10.1186/s13019-024-03049-3
Zihan Zhao, Ranran Wang, Lihua Gao, Meijing Zhang
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Abstract

Percutaneous vertebroplasty (PVP) is a surgical procedure that involves injecting polymethylmethacrylate (PMMA) bone cement into the diseased vertebrae to rapidly relieve pain and strengthen the vertebrae. We reported a 73-year-old patient who underwent percutaneous vertebroplasty (PVP) surgery for thoracolumbar vertebral compression fracture. After the surgery, the patient experienced symptoms such as chest tightness and dyspnea. Further examination revealed multiple high-density foreign bodies in the blood vessels/heart and concomitant multi-organ dysfunction. It was considered that the multi-organ embolism was caused by bone cement leakage. The patient improved after undergoing surgical treatment and anticoagulant therapy.

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骨水泥渗漏导致的肺栓塞和心内异物:病例报告和文献综述。
经皮椎体成形术(PVP)是一种将聚甲基丙烯酸甲酯(PMMA)骨水泥注入病变椎体的外科手术,可迅速缓解疼痛并加固椎体。我们报告了一名因胸腰椎压缩性骨折而接受经皮椎体成形术(PVP)手术的 73 岁患者。术后,患者出现胸闷和呼吸困难等症状。进一步检查发现,血管/心脏内有多个高密度异物,并伴有多器官功能障碍。考虑多器官栓塞是由骨水泥渗漏引起的。患者在接受手术治疗和抗凝治疗后病情有所好转。
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来源期刊
Journal of Cardiothoracic Surgery
Journal of Cardiothoracic Surgery 医学-心血管系统
CiteScore
2.50
自引率
6.20%
发文量
286
审稿时长
4-8 weeks
期刊介绍: Journal of Cardiothoracic Surgery is an open access journal that encompasses all aspects of research in the field of Cardiology, and Cardiothoracic and Vascular Surgery. The journal publishes original scientific research documenting clinical and experimental advances in cardiac, vascular and thoracic surgery, and related fields. Topics of interest include surgical techniques, survival rates, surgical complications and their outcomes; along with basic sciences, pediatric conditions, transplantations and clinical trials. Journal of Cardiothoracic Surgery is of interest to cardiothoracic and vascular surgeons, cardiothoracic anaesthesiologists, cardiologists, chest physicians, and allied health professionals.
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