Pulmonary cement embolism after percutaneous vertebroplasty. (RCD code: II-1C.0)
Journal Title: Journal of Rare Cardiovascular Diseases - Year 2016, Vol 2, Issue 8
Abstract
Pulmonary cement embolism is a relatively new medical issue. The cement used in orthopedics is not even mentioned in the 2014 European Society of Cardiology (ESC) guidelines on the diagnosis and management of acute pulmonary embolism, however it will be a more frequent occurrence as minimally-invasive orthopedic procedures become more commonplace. An 81-year-old female was admitted to the emergency room with syncope. She had reported similar episodes of loss of consciousness and mild dyspnea for a few years prior to hospital admission. In 2008 the patient had undergone percutaneous vertebroplasty due to vertebral compression fractures. Her chest radiograph revealed multiple calcifications along the pulmonary vessels. Pulmonary computed tomography angiography confirmed pulmonary cement embolism. The presence of coexisting thrombus in one of the branches of the pulmonary artery was also revealed. The patient was administered enoxaparin subcutaneously and discharged. After 3 weeks repeat echocardiography showed a slight reduction in the dimensions of the pulmonary artery and its branches. Our case demonstrates that pulmonary cement embolism after percutaneous vertebroplasty may coexist with thrombotic embolus. Screening chest radiography after procedures using medical cement should be considered. Long term anticoagulation seems to be appropriate after pulmonary cement embolism. JRCD 2016; 2 (8): 266–269
Authors and Affiliations
Sebastian Gurba, Bernadetta Deręgowska, Krzysztof Terpin, Wiesław Guz, Jerzy Kuźniar, Andrzej Przybylski
Keywords
Related Articles
- EP ID EP248029
- DOI 10.20418/jrcd.vol2no8.258
- Views 101
- Downloads 0
Patient with multiple ICD interventions (RCD code: V‑2A.O)
The authors report a case of a 58-year-old man with coronary artery disease and left ventricular aneurysm following inferior wall infarction, who was implanted with a single chamber cardioverter-defibrillator (ICD) for p...
Broad QRS complex tachycardia in a patient with myotonic dystrophy (Steinert disease) (RCD code: V‑4O)
Myotonic dystrophy is a rare inherited condition affecting primarily skeletal muscles and commonly associated with cardiovascular pathology. We report a case of a 50- year old female with myotonic dystrophy type 1 who pr...
“One of the greatest disease is to be nobody to anybody”
Saint Mother Teresa of CalcuttaDear Readers,Before we go any further, try to ponder the quote once said by the Saint Teresa of Calcutta. She was by far one of the most entitled person in the world to say such an unpleasa...
A successful treatment of ischemic cardiomyopathy associated with left ventricular aneurysm and chronic ischaemic mitral regurgitation (RCD code: III-1B.9.o).
Complications of myocardial infarction (MI) such as left ventricular aneurysm, chronic ischaemic mitral regurgitation (CIMR) and heart failure are associated with a poor prognosis. The management of complex defects is ch...
Pulmonary artery pressure matters – how to efficiently improve survival in pulmonary arterial hypertension (RCD code: II‐1A.1)
Pulmonary arterial hypertension is a disease characterized by poor prognosis despite treatment. Even in a modern era of pharmaco- therapy there is a strong need to further improve survival of patients. The current therap...