Fatal cardiac perforation and pulmonary embolism of leaked cement after percutaneous vertebroplasty
| Autor: | Sara Niballi, Stefano D'Errico, Diana Bonuccelli |
|---|---|
| Přispěvatelé: | D'Errico, S., Niballi, S., Bonuccelli, D. |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Cardiac perforation Cement leakage Percutaneous vertebroplasty Percutaneous medicine.medical_treatment Pathology and Forensic Medicine Death Sudden 03 medical and health sciences 0302 clinical medicine Fractures Compression medicine Humans Polymethyl Methacrylate Spinal canal Heart Atria 030216 legal & forensic medicine 030212 general & internal medicine Embolization Forensic Pathology Aged Cement Vertebroplasty business.industry Bone Cements General Medicine Foreign Bodies medicine.disease Surgery Pulmonary embolism medicine.anatomical_structure Spinal Fractures Female Foreign body Pulmonary Embolism business Complication Law Osteoporotic Fractures Extravasation of Diagnostic and Therapeutic Materials |
| Popis: | Percutaneous vertebroplasty consists of percutaneous injection of polymethylmethacrylate (PMMA) via a transpedicular approach for the treatment of collapsed osteoporotic or metastatic vertebrae. Even if percutaneous vertebroplasty is considered to be minimally invasive, threatening complications can occur. Cement leakage is the most common complication of percutaneous vertebroplasty. Rigorous patient selection and individual therapeutic strategy may reduce the occurrence of leakage, in particular the risk of cement entry into the venous system and the spinal canal is the potent major hazard of this technique. Cement pulmonary and cardiac embolism are reported in literature as a cause of unexpected death after percutaneous vertebroplasty. Authors report a fatal case of pulmonary cement embolization occurred after vertebroplasty with haemopericardium, due to the perforation of the right atrium wall from a cement solidified fragment. A complete post mortem examination documented the presence of multiple cement fragments in the pulmonary arteries and transmural perforation of the wall of the right atrium by a whitish needle-like foreign body. Pulmonary microembolization was observed under polarized light. |
| Databáze: | OpenAIRE |
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