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

2021 ◽  
Author(s):  
Moritz Lambers ◽  
Oliver Bruder ◽  
Heinrich Wieneke ◽  
Kai Nassenstein
Keyword(s):  
Case Report ◽  
Diagnostic Tests ◽  
Percutaneous Vertebroplasty ◽  
Pulmonary Arteries ◽  
Exertional Dyspnoea ◽  
Right Heart ◽  
Potential Harm ◽  
Case Summary ◽  
Cement Embolism ◽  
The Right

Abstract Background The incidence of recognized cardiopulmonary cement embolism in the context of percutaneous vertebroplasty varies between 0-23%. 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.

scholarly journals Bedside echocardiography for diagnosis of Intracardiac cement embolism after percutaneous vertebroplasty: A case report

2021 ◽  
Author(s):  
Panpan Yin ◽  
Junli Hu ◽  
Shaochun Wang ◽  
Guiling Sui ◽  
Guozhen Yuan ◽  
...  
Keyword(s):  
Bone Cement ◽  
Percutaneous Vertebroplasty ◽  
Pulmonary Arteries ◽  
High Density ◽  
History Of Surgery ◽  
Right Heart ◽  
Bedside Echocardiography ◽  
Cement Embolism ◽  
History Of ◽  
The Right

Abstract The purpose of this paper is to report a case diagnosed by bedside echocardiography in which bone cement infiltrated into the paravertebral vein system after percutaneous vertebroplasty (PVP) and caused intracardiac cement embolism (ICE). A 79-year-old female patient had suddenly become unconscious 14 hours after PVP. Emergency bedside echocardiogram showed that the patient had a strong echo in the right heart with a small amount of pericardial effusion, suspected of causing cardiogenic shock. Computed tomography (CT) showed high density in the distal branches of both pulmonary arteries and a high density in the right heart.Combined with the history of surgery, the clinician considers the foreign body as bone cement and the diagnosis was ICE. The bone cement in the heart was removed under emergency cardiopulmonary bypass. The patient recovered and was discharged smoothly.

scholarly journals P686 Right atrial, right ventricular and pulmonary cement embolism: a rare complication of percutaneous vertebroplasty

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
S Akhunova ◽  
R Khayrullin ◽  
N Stekolshchikova ◽  
M Samigullin ◽  
V Padiryakov
Keyword(s):  
Pulmonary Artery ◽  
Right Ventricle ◽  
Right Atrium ◽  
Percutaneous Vertebroplasty ◽  
Rare Complication ◽  
Clinical Manifestations ◽  
Stable Condition ◽  
Right Atrial ◽  
Cement Embolism ◽  
The Right

Abstract A 68-year-old man was admitted to the hospital with complaints of pain in the lumbar spine. He had L5 disc herniation, Spinal stenosis of the L5 root canal - S1 on the right in the past medical history. Percutaneous vertebroplasty at the level of L3 and Th8 vertebral bodies was performed six months ago due to painful vertebral hemangioma. The man is suffering from arterial hypertension, receives antihypertensive therapy. During routine transthoracic echocardiography, a hyperechoic structure with a size of 9.5 x 0.9 cm was found in the right atrium and right ventricle. Chest computed tomography with contrast enhancement revealed signs of bone cement in the right atrium and right ventricle, in the right upper lobe artery, in the branches of the upper lobe artery, in the paravertebral venous plexuses. Considering the duration of the disease, the stable condition, the absence of clinical manifestations and disorders of intracardiac hemodynamics, it was decided to refrain from surgical treatment. Antiplatelet therapy and dynamic observation were recommended. Conclusion Percutaneous vertebroplasty is a modern minimally invasive surgical procedure for the treatment of degenerative-dystrophic diseases of the spine. However, the cement can penetrate into the paravertebral veins and migrate to the right chambers of the heart and the pulmonary artery. This clinical case demonstrates asymptomatic cement embolism of the right chambers of the heart and pulmonary artery after percutaneous vertebroplasty, detected incidentally during routine echocardiography. Abstract P686 Figure.

scholarly journals Metastatic adenocarcinoma involving the right ventricle and pulmonary artery leading to right heart failure: case report

2017 ◽  
Vol 136 (3) ◽  
pp. 262-265 ◽  
Author(s):  
Turgut Karabag ◽  
Caner Arslan ◽  
Turab Yakisan ◽  
Aziz Vatan ◽  
Duygu Sak
Keyword(s):  
Heart Failure ◽  
Case Report ◽  
Pulmonary Artery ◽  
Right Ventricle ◽  
Right Ventricular ◽  
Right Ventricular Outflow Tract ◽  
Right Heart Failure ◽  
Ventricular Outflow Tract ◽  
Right Heart ◽  
The Right

ABSTRACT CONTEXT: Obstruction of the right ventricular outflow tract due to metastatic disease is rare. Clinical recognition of cardiac metastatic tumors is rare and continues to present a diagnostic and therapeutic challenge. CASE REPORT: We present the case of a patient who had severe respiratory insufficiency and whose clinical examinations revealed a giant tumor mass extending from the right ventricle to the pulmonary artery. We discuss the diagnostic and therapeutic options. CONCLUSION: In patients presenting with acute right heart failure, right ventricular masses should be kept in mind. Transthoracic echocardiography appears to be the most easily available, noninvasive, cost-effective and useful technique in making the differential diagnosis.

scholarly journals Angiosarcoma of the Heart: Case Report

2020 ◽  
Vol 3 (11) ◽  
pp. 01-07
Author(s):  
Marc Vanderheyden ◽  
Sofie Dhaeyer ◽  
Chirik Wah Lau ◽  
Vanessa Meert ◽  
Jan Leeman ◽  
...  
Keyword(s):  
Case Report ◽  
Malignant Tumors ◽  
Local Relapse ◽  
Review Of The Literature ◽  
Poor Survival ◽  
Right Heart ◽  
Course Of Disease ◽  
Metastatic Recurrence ◽  
Primary Angiosarcoma ◽  
The Right

Cardiac angiosarcomas are rare malignant tumors, predominantly affecting the right heart with poor survival outcomes. The current mainstay of treatment consists of surgery with or without chemotherapy, but often yields limited results with local relapse or metastatic recurrence. This case report describes 2 patients with primary angiosarcoma located in the right atrium. One patient received neo-adjuvant and adjuvant chemotherapy; both were scheduled for surgical resection. The course of disease is described followed by a comprehensive review of the literature.

Cardiac masses and potential sources of emboli

2016 ◽  
Author(s):  
Nadia Benyounes ◽  
Mauro Pepi ◽  
Roberta Esposito ◽  
Carmen Ginghina ◽  
Ariel Cohen
Keyword(s):  
Imaging Technique ◽  
Pulmonary Arteries ◽  
Clinical Manifestations ◽  
Transoesophageal Echocardiography ◽  
Right Heart ◽  
Postoperative Changes ◽  
The Right ◽  
Ultrasound Artefacts ◽  
Cardiac Masses

Cardiac masses are abnormal structures within or immediately adjacent to the heart. They have to be distinguished from variants of normal cardiac structures, postoperative changes, and ultrasound artefacts. These abnormal masses may be localized in the left or right heart cavities, with different clinical manifestations according to their localization. Among the abnormal cardiac masses (thrombus, vegetations, tumours), tumours are not discussed in this chapter. Echocardiography is the main but not the only imaging technique for the evaluation of cardiac masses, and is largely available. Hence, it is indicated in patients with a systemic embolic event, searching for a cardiac source embolism. When transthoracic echocardiography is negative, transoesophageal echocardiography is indicated, in cryptogenic ischaemic events (no cause found). Right heart masses are mainly responsible for pulmonary embolisms, but may be the cause of a systemic embolus, via the atrial septum. Right heart thrombi rarely form in situ, and are hence more often venous thrombi entrapped in the right heart on their way to the pulmonary arteries. Echocardiography is mandatory in the setting of pulmonary embolism.

scholarly journals Primary synovial sarcoma of the right heart involving the tricuspid valve in an elderly Chinese woman: a case report

2015 ◽  
Vol 10 (1) ◽  
Author(s):  
Zhen Huo ◽  
Haizhen Lu ◽  
Qi Mao ◽  
Zhengyu Jin ◽  
Huanwen Wu ◽  
...  
Keyword(s):  
Case Report ◽  
Synovial Sarcoma ◽  
Tricuspid Valve ◽  
Chinese Woman ◽  
Right Heart ◽  
Elderly Chinese ◽  
The Right

scholarly journals A case report of isolated severe valve stenosis in a previous tricuspid valve repair: an integrated multimodality imaging and invasive haemodynamic evaluation

2020 ◽  
Vol 4 (4) ◽  
pp. 1-5
Author(s):  
Jesper Khedri Jensen ◽  
Christian Alcaraz Frederiksen ◽  
Mads Jønsson Andersen ◽  
Steen Hvitfeldt Poulsen
Keyword(s):  
Case Report ◽  
Tricuspid Valve ◽  
Multimodality Imaging ◽  
Rare Condition ◽  
Tricuspid Valve Repair ◽  
Valve Prosthesis ◽  
Case Summary ◽  
Ring Annuloplasty ◽  
Final Treatment ◽  
The Right

Abstract Background Tricuspid valve (TV) stenosis is a very rare condition and the aetiology is primarily due to rheumatic disease, carcinoid disease, congenital heart disease, endocarditis, and following degeneration of biological valve prosthesis. Case summary We present a 45-year-old man with a rare case of symptomatic TV stenosis (TS) in a previously isolated TV repair. A meticulous multimodality diagnostic approach is presented in order to determine the severity of the TS and to evaluate the right ventricular function. Discussion This case report presents an integrated multimodality imaging and haemodynamic approach to evaluate and document the suspicion of development of a symptomatic significant stenosis in a previous TV repair. The initial TV repair was done without ring annuloplasty, because only the anterior leaflet was affected and bicuspidalization of the valve made it patent. In addition, minimizing the amount of implanted material was intended to minimize the risk of reinfection. The final treatment was performed as a TV replacement with insertion of a bioprosthesis.

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