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Case report: Open-heart removal for a cement embolism formed 10 years ago in the right ventricle and pulmonary artery

Bone cement embolism is a known complication after a kyphoplasty operation. Cement embolisms without immediate fatal complication such as cardiac perforation or hypoxemia were often stable during observation. We report a case of a large volume bone cement embolism involving the right ventricle and t...

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Autores principales: Liu, XinPei, Chu, PeiShan, Miao, Qi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10390769/
https://www.ncbi.nlm.nih.gov/pubmed/37534279
http://dx.doi.org/10.3389/fcvm.2023.1221525
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author Liu, XinPei
Chu, PeiShan
Miao, Qi
author_facet Liu, XinPei
Chu, PeiShan
Miao, Qi
author_sort Liu, XinPei
collection PubMed
description Bone cement embolism is a known complication after a kyphoplasty operation. Cement embolisms without immediate fatal complication such as cardiac perforation or hypoxemia were often stable during observation. We report a case of a large volume bone cement embolism involving the right ventricle and the pulmonary artery system. The patient developed mild exertional shortness of breath and chest pain after a percutaneous kyphoplasty (PKP) operation 10 years ago. However, her mild symptoms were attributed to multiple myeloma, and no chest imaging was taken until the symptoms exacerbated after a COVID-19 infection 6 months ago. A large, tree-branch-shaped embolus was found, causing severe obstruction of the ascending and middle-lobe branch of the right pulmonary artery. The pulmonary perfusion scintigraphy demonstrated an impaired perfusion of the right upper and middle lobe. An open-heart removal was performed, and the symptoms were relieved afterward. We report this case to highlight the importance of routine chest imaging after a PKP operation and to claim that open-heart removal for chronic cement pulmonary embolism is technically feasible and safe.
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spelling pubmed-103907692023-08-02 Case report: Open-heart removal for a cement embolism formed 10 years ago in the right ventricle and pulmonary artery Liu, XinPei Chu, PeiShan Miao, Qi Front Cardiovasc Med Cardiovascular Medicine Bone cement embolism is a known complication after a kyphoplasty operation. Cement embolisms without immediate fatal complication such as cardiac perforation or hypoxemia were often stable during observation. We report a case of a large volume bone cement embolism involving the right ventricle and the pulmonary artery system. The patient developed mild exertional shortness of breath and chest pain after a percutaneous kyphoplasty (PKP) operation 10 years ago. However, her mild symptoms were attributed to multiple myeloma, and no chest imaging was taken until the symptoms exacerbated after a COVID-19 infection 6 months ago. A large, tree-branch-shaped embolus was found, causing severe obstruction of the ascending and middle-lobe branch of the right pulmonary artery. The pulmonary perfusion scintigraphy demonstrated an impaired perfusion of the right upper and middle lobe. An open-heart removal was performed, and the symptoms were relieved afterward. We report this case to highlight the importance of routine chest imaging after a PKP operation and to claim that open-heart removal for chronic cement pulmonary embolism is technically feasible and safe. Frontiers Media S.A. 2023-07-18 /pmc/articles/PMC10390769/ /pubmed/37534279 http://dx.doi.org/10.3389/fcvm.2023.1221525 Text en © 2023 Liu, Chu and Miao. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Liu, XinPei
Chu, PeiShan
Miao, Qi
Case report: Open-heart removal for a cement embolism formed 10 years ago in the right ventricle and pulmonary artery
title Case report: Open-heart removal for a cement embolism formed 10 years ago in the right ventricle and pulmonary artery
title_full Case report: Open-heart removal for a cement embolism formed 10 years ago in the right ventricle and pulmonary artery
title_fullStr Case report: Open-heart removal for a cement embolism formed 10 years ago in the right ventricle and pulmonary artery
title_full_unstemmed Case report: Open-heart removal for a cement embolism formed 10 years ago in the right ventricle and pulmonary artery
title_short Case report: Open-heart removal for a cement embolism formed 10 years ago in the right ventricle and pulmonary artery
title_sort case report: open-heart removal for a cement embolism formed 10 years ago in the right ventricle and pulmonary artery
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10390769/
https://www.ncbi.nlm.nih.gov/pubmed/37534279
http://dx.doi.org/10.3389/fcvm.2023.1221525
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