A spear to the heart—the accidental discovery of a giant cement embolism in the right heart: a case report

BACKGROUND: The incidence of recognized cardiopulmonary cement embolism in the context of percutaneous vertebroplasty varies between 0% and 23%. In most cases, only small fragments embolize in the pulmonary arteries or the right heart cavities. The latter can cause potential harm by right ventricula...

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Detalles Bibliográficos
Autores principales: Lambers, Moritz, Bruder, Oliver, Wieneke, Heinrich, Nassenstein, Kai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8633739/
https://www.ncbi.nlm.nih.gov/pubmed/34859179
http://dx.doi.org/10.1093/ehjcr/ytab336
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author Lambers, Moritz
Bruder, Oliver
Wieneke, Heinrich
Nassenstein, Kai
author_facet Lambers, Moritz
Bruder, Oliver
Wieneke, Heinrich
Nassenstein, Kai
author_sort Lambers, Moritz
collection PubMed
description BACKGROUND: The incidence of recognized cardiopulmonary cement embolism in the context of percutaneous vertebroplasty varies between 0% and 23%. In most cases, only small fragments embolize in the pulmonary arteries or the right heart cavities. The latter can cause potential harm by right ventricular perforation. CASE SUMMARY: A 57-year-old patient was admitted to our department of cardiology due to exertional dyspnoea and chest pain. In the course of further diagnostic tests, a huge cement embolus was accidentally discovered in the right ventricle. The unusual size and length and the threat of ventricular perforation make this case so unique. DISCUSSION: Large cement embolisms in kyphoplasty settings are possible and associated with the risk of fulminant complications.
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spelling pubmed-86337392021-12-01 A spear to the heart—the accidental discovery of a giant cement embolism in the right heart: a case report Lambers, Moritz Bruder, Oliver Wieneke, Heinrich Nassenstein, Kai Eur Heart J Case Rep Case Report BACKGROUND: The incidence of recognized cardiopulmonary cement embolism in the context of percutaneous vertebroplasty varies between 0% and 23%. In most cases, only small fragments embolize in the pulmonary arteries or the right heart cavities. The latter can cause potential harm by right ventricular perforation. CASE SUMMARY: A 57-year-old patient was admitted to our department of cardiology due to exertional dyspnoea and chest pain. In the course of further diagnostic tests, a huge cement embolus was accidentally discovered in the right ventricle. The unusual size and length and the threat of ventricular perforation make this case so unique. DISCUSSION: Large cement embolisms in kyphoplasty settings are possible and associated with the risk of fulminant complications. Oxford University Press 2021-08-25 /pmc/articles/PMC8633739/ /pubmed/34859179 http://dx.doi.org/10.1093/ehjcr/ytab336 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Lambers, Moritz
Bruder, Oliver
Wieneke, Heinrich
Nassenstein, Kai
A spear to the heart—the accidental discovery of a giant cement embolism in the right heart: a case report
title A spear to the heart—the accidental discovery of a giant cement embolism in the right heart: a case report
title_full A spear to the heart—the accidental discovery of a giant cement embolism in the right heart: a case report
title_fullStr A spear to the heart—the accidental discovery of a giant cement embolism in the right heart: a case report
title_full_unstemmed A spear to the heart—the accidental discovery of a giant cement embolism in the right heart: a case report
title_short A spear to the heart—the accidental discovery of a giant cement embolism in the right heart: a case report
title_sort spear to the heart—the accidental discovery of a giant cement embolism in the right heart: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8633739/
https://www.ncbi.nlm.nih.gov/pubmed/34859179
http://dx.doi.org/10.1093/ehjcr/ytab336
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