Lambers Moritz, Bruder Oliver, Wieneke Heinrich, Nassenstein Kai
Department of Cardiology and Angiology, Contilia Heart and Vascular Center, Elisabeth-Krankenhaus Essen, Klara-Kopp-Weg 1, 45138 Essen, Germany.
Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany.
Eur Heart J Case Rep. 2021 Aug 25;5(11):ytab336. doi: 10.1093/ehjcr/ytab336. eCollection 2021 Nov.
The incidence of recognized cardiopulmonary cement embolism in the context of percutaneous vertebroplasty varies between 0% and 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.
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.
Large cement embolisms in kyphoplasty settings are possible and associated with the risk of fulminant complications.
经皮椎体成形术中公认的心肺水泥栓塞发生率在0%至23%之间。在大多数情况下，只有小碎片会栓塞在肺动脉或右心腔内。后者可能因右心室穿孔而造成潜在危害。
一名57岁患者因劳力性呼吸困难和胸痛入住我院心内科。在进一步的诊断检查过程中，意外地在右心室发现了一个巨大的水泥栓子。其不寻常的大小和长度以及心室穿孔的威胁使该病例如此独特。
椎体后凸成形术中出现大的水泥栓塞是可能的，并且与暴发性并发症的风险相关。
