Siddiqui Atif S, Goodarzi Ahmad, Majumdar Tilottama, Kaleekal Thomas
Division of Pulmonary and Critical Care, Houston Methodist Hospital, Houston, TX 6565 Fannin St, Houston, TX 77030, USA.
Division of Pulmonary Transplant, Houston Methodist Hospital, Houston, TX, USA.
Respir Med Case Rep. 2018 Apr 20;24:63-64. doi: 10.1016/j.rmcr.2018.04.011. eCollection 2018.
Pulmonary cement embolism (PCE) is a complication of percutaneous vertebral augmentation techniques. PCE in lung transplant patient population has not been reported. We report a case 57-year-old male patient with double lung transplant secondary to idiopathic pulmonary fibrosis presented with shortness of breath after vertebroplasty. CTA chest showed thin dense opacities within the bilateral pulmonary arteries consistent with pulmonary cement embolism. The patient was treated with therapeutic enoxaparin and remained stable at one year follow up.
肺水泥栓塞（PCE）是经皮椎体强化技术的一种并发症。肺移植患者群体中的PCE尚未见报道。我们报告一例57岁男性患者，因特发性肺纤维化接受双肺移植，椎体成形术后出现呼吸急促。胸部CTA显示双侧肺动脉内有淡薄致密影，符合肺水泥栓塞表现。该患者接受了依诺肝素治疗，随访一年病情稳定。
