Tozzi Piergiorgio, Abdelmoumene Yasmine, Corno Antonio F, Gersbach Philip A, Hoogewoud Henri-Marcel, von Segesser Ludwig K
Department of Cardiovascular Surgery, Centre Hĵspitalier Universitaire Vaudois-CHUV, Lausanne, Switzerland.
Ann Thorac Surg. 2002 Nov;74(5):1706-8. doi: 10.1016/s0003-4975(02)03962-0.
A 55-year-old man diagnosed with osteogenesis imperfecta had multiple pulmonary embolism from acrylic cement during vertebroplasty. The patient immediately developed respiratory distress, renal failure, and right cardiac failure. A computed tomographic scan showed the presence of cement in the right and left pulmonary arteries, and in both lungs. Cardiac and respiratory functions did not improve with medical treatment, therefore the patient underwent pulmonary artery embolectomy. Cement was easily removed from both pulmonary arteries. The patient quickly recovered from respiratory and cardiac failure. We believe pulmonary embolectomy is a reliable and effective procedure to treat this rare and dreadful complication of acrylic vertebroplasty.
一名55岁被诊断为成骨不全的男性在椎体成形术期间因骨水泥发生多处肺栓塞。患者立即出现呼吸窘迫、肾衰竭和右心衰竭。计算机断层扫描显示左右肺动脉及双肺均有骨水泥。药物治疗后心脏和呼吸功能未改善，因此患者接受了肺动脉血栓切除术。骨水泥很容易从双侧肺动脉中取出。患者很快从呼吸和心力衰竭中康复。我们认为肺动脉血栓切除术是治疗这种罕见且可怕的骨水泥椎体成形术并发症的可靠且有效的方法。
