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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2023
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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. |
format | Online Article Text |
id | pubmed-10390769 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
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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