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经右前外侧开胸术取出骨水泥。

Removal of Bone Cement through Right Anterolateral Thoracotomy.

作者信息

Chung Jin Woo, Shin Je Kyoun, Chee Hyun Keun, Kim Jun Seok, Kim Dong Chan, Park Jae Bum

机构信息

Department of Thoracic and Cardiovascular Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Korea.

出版信息

Korean J Thorac Cardiovasc Surg. 2012 Jun;45(3):202-4. doi: 10.5090/kjtcs.2012.45.3.202. Epub 2012 Jun 7.

DOI:10.5090/kjtcs.2012.45.3.202
PMID:22708093
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3373981/
Abstract

A 55-year-old woman who had a history of percutaneous vertebroplasty was referred to our institution with sudden onset of chest pain. Computed tomography (CT) scan demonstrated a long, linear, highly-attenuated segment in the right side of the heart and fragmented pieces in the right pulmonary artery. The CT scan and echocardiogram revealed no pericardial effusion or hemopericardium. Based on these findings, we performed surgery through right anterolateral thoracotomy without cardiac arrest. As a result, we safely removed the foreign body. This approach may be a feasible and effective procedure for selected cases.

摘要

一名有经皮椎体成形术病史的55岁女性因突发胸痛被转诊至我院。计算机断层扫描（CT）显示心脏右侧有一长条形、高密度的节段，右肺动脉内有碎片。CT扫描和超声心动图未发现心包积液或心包积血。基于这些发现，我们在不进行心脏停搏的情况下通过右前外侧开胸进行了手术。结果，我们安全地取出了异物。对于特定病例，这种方法可能是一种可行且有效的手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89b3/3373981/32b71f00f2b3/kjtcs-45-202-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89b3/3373981/77d340250112/kjtcs-45-202-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89b3/3373981/32b71f00f2b3/kjtcs-45-202-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89b3/3373981/77d340250112/kjtcs-45-202-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89b3/3373981/32b71f00f2b3/kjtcs-45-202-g002.jpg

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本文引用的文献

1
Open heart surgery for removal of polymethylmethacrylate after percutaneous vertebroplasty.经皮椎体成形术后行开放性心脏手术取出聚甲基丙烯酸甲酯。
Ann Thorac Surg. 2011 Jan;91(1):276-8. doi: 10.1016/j.athoracsur.2010.06.106.
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Cardiac perforation and tricuspid regurgitation as a complication of percutaneous vertebroplasty.经皮椎体成形术并发症之心脏穿孔与三尖瓣反流
Eur J Cardiothorac Surg. 2008 Mar;33(3):508-9. doi: 10.1016/j.ejcts.2007.11.027. Epub 2008 Feb 4.
3
Multiple cardiac perforations and pulmonary embolism caused by cement leakage after percutaneous vertebroplasty.
经皮椎体成形术后骨水泥渗漏导致多处心脏穿孔和肺栓塞。
Eur J Cardiothorac Surg. 2008 Mar;33(3):510-2. doi: 10.1016/j.ejcts.2007.12.012. Epub 2008 Jan 15.
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Management of pulmonary embolism during acrylic vertebroplasty.丙烯酸椎体成形术中肺栓塞的管理
Ann Thorac Surg. 2002 Nov;74(5):1706-8. doi: 10.1016/s0003-4975(02)03962-0.
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Percutaneous vertebroplasty: long-term clinical and radiological outcome.经皮椎体成形术：长期临床及影像学结果
Neuroradiology. 2002 Nov;44(11):950-4. doi: 10.1007/s00234-002-0856-1. Epub 2002 Oct 3.
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Percutaneous vertebroplasty: a special syringe for cement injection.经皮椎体成形术：一种用于骨水泥注射的特殊注射器。
AJNR Am J Neuroradiol. 2000 Jan;21(1):159-61.
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Percutaneous vertebroplasty for osteolytic metastases and myeloma: effects of the percentage of lesion filling and the leakage of methyl methacrylate at clinical follow-up.经皮椎体成形术治疗溶骨性转移瘤和骨髓瘤：临床随访中骨水泥填充率及甲基丙烯酸甲酯渗漏的影响
Radiology. 1996 Aug;200(2):525-30. doi: 10.1148/radiology.200.2.8685351.