Massive mass embolism detected by transesophageal echocardiography in bone cement implantation syndrome: a case report

Bone cement implantation syndrome (BCIS) is a known complication in patients undergoing cemented orthopedic surgeries; however, the etiology and pathophysiology of BCIS are not fully understood. We report the case of a patient who developed pulseless electrical activity (PEA) due to BCIS after cemen...

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Autores principales: Izumi, Yuki, Ishihara, Satoshi, Cammack, Ivor, Miyawaki, Ikuko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6967219/
https://www.ncbi.nlm.nih.gov/pubmed/32026061
http://dx.doi.org/10.1186/s40981-019-0225-2
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author Izumi, Yuki
Ishihara, Satoshi
Cammack, Ivor
Miyawaki, Ikuko
author_facet Izumi, Yuki
Ishihara, Satoshi
Cammack, Ivor
Miyawaki, Ikuko
author_sort Izumi, Yuki
collection PubMed
description Bone cement implantation syndrome (BCIS) is a known complication in patients undergoing cemented orthopedic surgeries; however, the etiology and pathophysiology of BCIS are not fully understood. We report the case of a patient who developed pulseless electrical activity (PEA) due to BCIS after cemented femoral head replacement. Transesophageal echocardiography (TEE) during PEA revealed a massive embolus extending from the main pulmonary artery to the inferior vena cava. Of note, this embolus disappeared completely and rapidly after return of spontaneous circulation. TEE proved to be useful in the diagnosis and management of this case of PEA. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s40981-019-0225-2) contains supplementary material, which is available to authorized users.
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spelling pubmed-69672192020-02-04 Massive mass embolism detected by transesophageal echocardiography in bone cement implantation syndrome: a case report Izumi, Yuki Ishihara, Satoshi Cammack, Ivor Miyawaki, Ikuko JA Clin Rep Case Report Bone cement implantation syndrome (BCIS) is a known complication in patients undergoing cemented orthopedic surgeries; however, the etiology and pathophysiology of BCIS are not fully understood. We report the case of a patient who developed pulseless electrical activity (PEA) due to BCIS after cemented femoral head replacement. Transesophageal echocardiography (TEE) during PEA revealed a massive embolus extending from the main pulmonary artery to the inferior vena cava. Of note, this embolus disappeared completely and rapidly after return of spontaneous circulation. TEE proved to be useful in the diagnosis and management of this case of PEA. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s40981-019-0225-2) contains supplementary material, which is available to authorized users. Springer Berlin Heidelberg 2019-01-24 /pmc/articles/PMC6967219/ /pubmed/32026061 http://dx.doi.org/10.1186/s40981-019-0225-2 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Report
Izumi, Yuki
Ishihara, Satoshi
Cammack, Ivor
Miyawaki, Ikuko
Massive mass embolism detected by transesophageal echocardiography in bone cement implantation syndrome: a case report
title Massive mass embolism detected by transesophageal echocardiography in bone cement implantation syndrome: a case report
title_full Massive mass embolism detected by transesophageal echocardiography in bone cement implantation syndrome: a case report
title_fullStr Massive mass embolism detected by transesophageal echocardiography in bone cement implantation syndrome: a case report
title_full_unstemmed Massive mass embolism detected by transesophageal echocardiography in bone cement implantation syndrome: a case report
title_short Massive mass embolism detected by transesophageal echocardiography in bone cement implantation syndrome: a case report
title_sort massive mass embolism detected by transesophageal echocardiography in bone cement implantation syndrome: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6967219/
https://www.ncbi.nlm.nih.gov/pubmed/32026061
http://dx.doi.org/10.1186/s40981-019-0225-2
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