Cement pulmonary embolism after percutaneous vertebroplasty in a patient with cushing's syndrome: A case report.

Abstract

BACKGROUND:

Vertebroplasty is a procedure most commonly used for vertebral compression fractures. Although it is a relatively safe procedure, complications have been reported. Cement embolism is seen in 2.1%-26% of patients after percutaneous vertebroplasty.

CASE PRESENTATION:

a 38-year-old male who was diagnosed with cushing's syndrome, underwent percutaneous vertebroplasty for his thoracic osteoporotic compression fractures. 24-hours following vertebroplasty, he presented to emergency department with acute-onset dyspnea and chest pain. Chest radiography showed an opaque linear lesion in left pulmonary artery which was suggestive of cement embolism. Pulmonary spiral CT-scan further confirmed the diagnosis. The patient's symptoms improved over time, and warfarin was started with close cardiopulmonary assessments for indicators of cement embolus removal.

CONCLUSION:

in patients with pulmonary cement embolism, conservative treatment may be recommended rather than a surgical removal except when the obstruction is extensive enough to cause hemodynamic changes. Given that all the related studies have suggested that pulmonary thromboembolism can occur as a complication due to bone cement leakage, discovering new cement alternatives and/or injection devices, seems beneficial.

• Authors: Besharat Rahimi, Behdad Boroofeh, Roshan Dinparastisaleh, Hale Nazifi
• Journal: Respiratory medicine case reports (Respir Med Case Rep) Vol. 25 Pg. 78-85 ( 2018) ISSN: 2213-0071 [Print] England
• PMID: 30073141 (Publication Type: Case Reports)