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Bedside echocardiography for diagnosis of Intracardiac cement embolism after percutaneous vertebroplasty: A case report
  • +3
  • Panpan Yin,
  • Junli Hu,
  • Shaochun Wang,
  • Guiling Sui,
  • Guozhen Yuan,
  • Dongchen FAN
Panpan Yin
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Shaochun Wang
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Guiling Sui
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Guozhen Yuan
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Dongchen FAN
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Abstract The purpose of this paper is to report a case diagnosed by bedside echocardiography in which bone cement infiltrated into the paravertebral vein system after percutaneous vertebroplasty (PVP) and caused intracardiac cement embolism (ICE). A 79-year-old female patient had suddenly become unconscious 14 hours after PVP. Emergency bedside echocardiogram showed that the patient had a strong echo in the right heart with a small amount of pericardial effusion, suspected of causing cardiogenic shock. Computed tomography (CT) showed high density in the distal branches of both pulmonary arteries and a high density in the right heart.Combined with the history of surgery, the clinician considers the foreign body as bone cement and the diagnosis was ICE. The bone cement in the heart was removed under emergency cardiopulmonary bypass. The patient recovered and was discharged smoothly.

Peer review status:IN REVISION

14 Mar 2021Submitted to Journal of Cardiac Surgery
16 Mar 2021Assigned to Editor
16 Mar 2021Submission Checks Completed
21 Mar 2021Reviewer(s) Assigned
13 Jun 2021Review(s) Completed, Editorial Evaluation Pending
14 Jun 2021Editorial Decision: Revise Major