Schmiady Martin O, Possner Mathias, Horisberger Thomas, Ouda Ahmed
Clinic for Cardiac Surgery, University Heart Center, University Hospital Zurich, Zurich, Switzerland.
Department of Cardiology, Kantonsspital St Gallen, St Gallen, Switzerland.
Interdiscip Cardiovasc Thorac Surg. 2023 Jan 9;36(1). doi: 10.1093/icvts/ivac292.
Leakage of bone cement is a known complication after percutaneous kyphoplasty. In rare cases, bone cement can reach the venous system and cause life-threatening embolism. We present the case of a 73-year-old male, who was admitted to our hospital with new-onset chest pain and dyspnoea. He had a history of percutaneous kyphoplasty. Multimodal imaging showed intracardiac cement embolism in the right ventricle with penetration of the interventricular septum and perforation of the apex. The bone cement was successfully removed during open cardiac surgery.
骨水泥渗漏是经皮椎体后凸成形术后已知的并发症。在罕见情况下，骨水泥可进入静脉系统并导致危及生命的栓塞。我们报告一例73岁男性患者，因新发胸痛和呼吸困难入院。他有经皮椎体后凸成形术病史。多模态成像显示右心室内有心脏内骨水泥栓塞，伴有室间隔穿透和心尖穿孔。在心脏直视手术中成功取出了骨水泥。
