Pulmonary cement embolism after percutaneous vertebroplasty. (RCD code: II-1C.0)
Journal Title: Journal of Rare Cardiovascular Diseases - Year 2016, Vol 2, Issue 8
Abstract
Pulmonary cement embolism is a relatively new medical issue. The cement used in orthopedics is not even mentioned in the 2014 European Society of Cardiology (ESC) guidelines on the diagnosis and management of acute pulmonary embolism, however it will be a more frequent occurrence as minimally-invasive orthopedic procedures become more commonplace. An 81-year-old female was admitted to the emergency room with syncope. She had reported similar episodes of loss of consciousness and mild dyspnea for a few years prior to hospital admission. In 2008 the patient had undergone percutaneous vertebroplasty due to vertebral compression fractures. Her chest radiograph revealed multiple calcifications along the pulmonary vessels. Pulmonary computed tomography angiography confirmed pulmonary cement embolism. The presence of coexisting thrombus in one of the branches of the pulmonary artery was also revealed. The patient was administered enoxaparin subcutaneously and discharged. After 3 weeks repeat echocardiography showed a slight reduction in the dimensions of the pulmonary artery and its branches. Our case demonstrates that pulmonary cement embolism after percutaneous vertebroplasty may coexist with thrombotic embolus. Screening chest radiography after procedures using medical cement should be considered. Long term anticoagulation seems to be appropriate after pulmonary cement embolism. JRCD 2016; 2 (8): 266–269
Authors and Affiliations
Sebastian Gurba, Bernadetta Deręgowska, Krzysztof Terpin, Wiesław Guz, Jerzy Kuźniar, Andrzej Przybylski
Keywords
Related Articles
- EP ID EP248029
- DOI 10.20418/jrcd.vol2no8.258
- Views 108
- Downloads 0
Introduction
Introduction
Journal of Rare Cardiovascular Diseases: “One finger cannot lift a pebble” – cooperation as the only way to move forward
Dear Readers,Gaining more experience and exchange of knowledge in one thing is the only way to advance the field of rare cardiovascular diseases (RCD). Taking care of RCD patients on a daily basis quickly leads to realiz...
Overlap cardiomyopathy – coexistence of hypertrophic and restrictive cardiomyopathy phenotypes in one patient (RCD code: III-2A.1)
Recent data indicate that substantial proportion of cardiomyopathy patients have in fact more than one phenotype, the phenomenon termed as overlap or mixed cardiomyopathy. The molecular mechanisms and pathology as well a...
Right atrial myxoma in a patient with Budd‐Chiari syndrome
Budd‐Chiari syndrome (BCS) is a rare clinical disorder which is caused by obstruction of the major hepatic veins or suprahepatic portion of the inferior vena cava. Either thrombosis or a mechanical venous obstruction may...
3rd Symposium on Rare Cardiovascular Diseases – ESC Amsterdam 2013: Chairperson’s Perspective
The 3rd Satellite Symposiumon Rare Cardiovascular Diseases, which was organized by the Krakow Center for Rare Cardiovascular Diseases, was officially included in the Program of the 2013 ESC Congress and was held in the E...