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Case report: Inspiration from a rare fatal heart perforation after percutaneous vertebroplasty
The principal benefit of employing percutaneous vertebroplasty (PVP) for managing osteoporotic vertebral compression fractures lies in its capacity to facilitate early mobilization in elderly patients, thereby effectively avoiding the potential catastrophic complications associated with prolonged be...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10507243/ https://www.ncbi.nlm.nih.gov/pubmed/37732163 http://dx.doi.org/10.3389/fsurg.2023.1227056 |
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author | Deng, Ke Yu, Jia-Lin Feng, Ye-Jun Huang, Kui Wu, Guo-Feng |
author_facet | Deng, Ke Yu, Jia-Lin Feng, Ye-Jun Huang, Kui Wu, Guo-Feng |
author_sort | Deng, Ke |
collection | PubMed |
description | The principal benefit of employing percutaneous vertebroplasty (PVP) for managing osteoporotic vertebral compression fractures lies in its capacity to facilitate early mobilization in elderly patients, thereby effectively avoiding the potential catastrophic complications associated with prolonged bedridden states. However, bone cement leakage, as the most common complication of PVP, may have fatal consequences. Here, we report a case involving an 85-year-old male patient with L1 vertebral compression fracture who underwent PVP at our hospital and was discharged on the same day of the surgical intervention. Subsequently, the patient experienced symptoms of chest tightness and palpitations. Cardiac ultrasound examination revealed pericardial effusion, while pulmonary computed tomographic angiography (CTA) demonstrated a strip high-density shadow in the right ventricular area. Finally, it was determined that the perforation of the right ventricular wall was caused by bone cement embolism. Through this comprehensive case report, we aim to deepen the understanding of orthopedic doctors on the importance of preventing bone cement leakage. |
format | Online Article Text |
id | pubmed-10507243 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-105072432023-09-20 Case report: Inspiration from a rare fatal heart perforation after percutaneous vertebroplasty Deng, Ke Yu, Jia-Lin Feng, Ye-Jun Huang, Kui Wu, Guo-Feng Front Surg Surgery The principal benefit of employing percutaneous vertebroplasty (PVP) for managing osteoporotic vertebral compression fractures lies in its capacity to facilitate early mobilization in elderly patients, thereby effectively avoiding the potential catastrophic complications associated with prolonged bedridden states. However, bone cement leakage, as the most common complication of PVP, may have fatal consequences. Here, we report a case involving an 85-year-old male patient with L1 vertebral compression fracture who underwent PVP at our hospital and was discharged on the same day of the surgical intervention. Subsequently, the patient experienced symptoms of chest tightness and palpitations. Cardiac ultrasound examination revealed pericardial effusion, while pulmonary computed tomographic angiography (CTA) demonstrated a strip high-density shadow in the right ventricular area. Finally, it was determined that the perforation of the right ventricular wall was caused by bone cement embolism. Through this comprehensive case report, we aim to deepen the understanding of orthopedic doctors on the importance of preventing bone cement leakage. Frontiers Media S.A. 2023-09-04 /pmc/articles/PMC10507243/ /pubmed/37732163 http://dx.doi.org/10.3389/fsurg.2023.1227056 Text en © 2023 Deng, Yu, Feng, Huang and Wu. 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 | Surgery Deng, Ke Yu, Jia-Lin Feng, Ye-Jun Huang, Kui Wu, Guo-Feng Case report: Inspiration from a rare fatal heart perforation after percutaneous vertebroplasty |
title | Case report: Inspiration from a rare fatal heart perforation after percutaneous vertebroplasty |
title_full | Case report: Inspiration from a rare fatal heart perforation after percutaneous vertebroplasty |
title_fullStr | Case report: Inspiration from a rare fatal heart perforation after percutaneous vertebroplasty |
title_full_unstemmed | Case report: Inspiration from a rare fatal heart perforation after percutaneous vertebroplasty |
title_short | Case report: Inspiration from a rare fatal heart perforation after percutaneous vertebroplasty |
title_sort | case report: inspiration from a rare fatal heart perforation after percutaneous vertebroplasty |
topic | Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10507243/ https://www.ncbi.nlm.nih.gov/pubmed/37732163 http://dx.doi.org/10.3389/fsurg.2023.1227056 |
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