Cardiac Perforation Caused by Acrylic Cement: A Rare Complication of Percutaneous Vertebroplasty

2005 ◽  
Vol 185 (5) ◽  
pp. 1245-1247 ◽  
Author(s):  
So Yeon Kim ◽  
Joon Beom Seo ◽  
Kyung-Hyun Do ◽  
Jin Seong Lee ◽  
Koun-Sik Song ◽  
...  
2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
S Akhunova ◽  
R Khayrullin ◽  
N Stekolshchikova ◽  
M Samigullin ◽  
V Padiryakov

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.


2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Guido Zarattini ◽  
Adam Farrier ◽  
Federico Sibona

Background Context. Cement leakage is not a rare complication of vertebroplasty, but ascending tonic clonic seizure syndrome is exceptionally rare. We herein report the first case to our knowledge of this complication related to vertebroplasty.Purpose. We herein report the first case of ascending tonic clonic seizure syndrome following epidural cement leakage after percutaneous vertebroplasty in a patient with multiple osteoporotic compression fractures.Study Design. Case report.Methods. A 64-year-old woman with T8, T10, L2, and L4 osteoporotic compression fractures underwent percutaneous vertebroplasty using polymethylmethacrylate. 40 minutes after the procedure the patient started suffering back and leg pain, having repetitive myoclonic jerks lasting 15 seconds of the lower extremities, spasm of the back, dyspnea, sinus tachycardia, hypoxemia, and metabolic acidosis.Results. The patient recovered completely due to a combination of early effective resuscitation and considered definitive management.Conclusions. Percutaneous vertebroplasty with polymethylmethacrylate is relatively safe but has few dangerous complications, which should be prevented by a meticulous technique and excellent image quality.


Cases Journal ◽  
2009 ◽  
Vol 2 (1) ◽  
pp. 7960 ◽  
Author(s):  
Farzad Omidi-Kashani ◽  
Mohamadhosein Ebrahimzadeh ◽  
Mohamadtaghi Peivandy

1994 ◽  
Vol 13 (3) ◽  
pp. 518-521 ◽  
Author(s):  
T. Cardon ◽  
E. Hachulla ◽  
R. M. Flipo ◽  
P. Chastanet ◽  
C. Rose ◽  
...  

2008 ◽  
Vol 150 (8) ◽  
pp. 811-815 ◽  
Author(s):  
H. Sabuncuoğlu ◽  
D. Dinçer ◽  
B. Güçlü ◽  
E. Erdoğan ◽  
H. G. Hatipoğlu ◽  
...  

2007 ◽  
Vol 36 (7) ◽  
pp. 685-687 ◽  
Author(s):  
Nicolas Amoretti ◽  
Istvan Hovorka ◽  
Pierre-Yves Marcy ◽  
Anne Grimaud ◽  
Philippe Brunner ◽  
...  

2015 ◽  
Vol 37 (17) ◽  
pp. 1383-1383 ◽  
Author(s):  
Olivier Wigger ◽  
Stefan Stortecky ◽  
Henriette Most ◽  
Lars Englberger

2012 ◽  
Vol 56 (4) ◽  
pp. 1107-1109 ◽  
Author(s):  
Mohammad Mozaffar ◽  
Mohammad Reza Radpay ◽  
Hatef Zirakzadeh ◽  
Pooneh Nabavizadeh ◽  
Mohammad Reza Sobhiye ◽  
...  

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