Cardiac perforation caused by cement after percutaneous balloon kyphoplasty.

Abstract

Percutaneous balloon kyphoplasty is a relatively simple, convenient, and minimally invasive procedure in which polymethylmethacrylate bone cement is used to manage back pain and spinal instability associated with osteoporotic compression fractures and other osteolytic spinal lesions. However, cement leakage into the venous system is a serious complication following percutaneous balloon kyphoplasty. A 74-year-old woman presented with cardiac perforation and pulmonary embolism caused by cement leakage into her venous system. She subsequently underwent surgery to effectively remove a needle-shaped cement piece from the right ventricular wall, without cardiopulmonary bypass and cardiac arrest.

• Authors: Kazunori Ishikawa, Hiroki Hayashi, Hideaki Mori
• Journal: Asian cardiovascular & thoracic annals (Asian Cardiovasc Thorac Ann) Vol. 25 Issue 3 Pg. 204-206 (Mar 2017) ISSN: 1816-5370 [Electronic] England
• PMID: 26542782 (Publication Type: Case Reports, Journal Article)

Chemical References

• Bone Cements

Topics

• Aged
• Bone Cements (adverse effects)
• Cardiac Surgical Procedures (methods)
• Coronary Angiography
• Echocardiography
• Female
• Foreign-Body Migration (complications, diagnosis, surgery)
• Heart Injuries (diagnosis, etiology, surgery)
• Heart Ventricles (diagnostic imaging, injuries, surgery)
• Humans
• Kyphoplasty (adverse effects)
• Lumbar Vertebrae
• Postoperative Complications
• Spinal Fractures (surgery)
• Tomography, X-Ray Computed