A spear to the heart—the accidental discovery of a giant cement embolism in the right heart: a case report
Background The incidence of recognized cardiopulmonary cement embolism in the context of percutaneous vertebroplasty varies between 0% and 23%. In most cases, only small fragments embolize in the pulmonary arteries or the right heart cavities. The latter can cause potential harm by right ventricular...
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| Veröffentlicht in: | European heart journal : case reports 2021-11, Vol.5 (11), p.ytab336 |
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| container_title | European heart journal : case reports |
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| creator | Lambers, Moritz Bruder, Oliver Wieneke, Heinrich Nassenstein, Kai |
| description | Background
The incidence of recognized cardiopulmonary cement embolism in the context of percutaneous vertebroplasty varies between 0% and 23%. In most cases, only small fragments embolize in the pulmonary arteries or the right heart cavities. The latter can cause potential harm by right ventricular perforation.
Case summary
A 57-year-old patient was admitted to our department of cardiology due to exertional dyspnoea and chest pain. In the course of further diagnostic tests, a huge cement embolus was accidentally discovered in the right ventricle. The unusual size and length and the threat of ventricular perforation make this case so unique.
Discussion
Large cement embolisms in kyphoplasty settings are possible and associated with the risk of fulminant complications. |
| doi_str_mv | 10.1093/ehjcr/ytab336 |
| format | Article |
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The incidence of recognized cardiopulmonary cement embolism in the context of percutaneous vertebroplasty varies between 0% and 23%. In most cases, only small fragments embolize in the pulmonary arteries or the right heart cavities. The latter can cause potential harm by right ventricular perforation.
Case summary
A 57-year-old patient was admitted to our department of cardiology due to exertional dyspnoea and chest pain. In the course of further diagnostic tests, a huge cement embolus was accidentally discovered in the right ventricle. The unusual size and length and the threat of ventricular perforation make this case so unique.
Discussion
Large cement embolisms in kyphoplasty settings are possible and associated with the risk of fulminant complications.</description><identifier>ISSN: 2514-2119</identifier><identifier>EISSN: 2514-2119</identifier><identifier>DOI: 10.1093/ehjcr/ytab336</identifier><identifier>PMID: 34859179</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Cardiology ; Case Report ; Diagnosis ; Embolism ; Heart</subject><ispartof>European heart journal : case reports, 2021-11, Vol.5 (11), p.ytab336</ispartof><rights>The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology. 2021</rights><rights>The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology.</rights><rights>COPYRIGHT 2021 Oxford University Press</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c454t-33c7534d09917fe2b383cf32618745467b324ffa7f8d5182645ba3f530cd4bce3</citedby><cites>FETCH-LOGICAL-c454t-33c7534d09917fe2b383cf32618745467b324ffa7f8d5182645ba3f530cd4bce3</cites><orcidid>0000-0002-4005-3196 ; 0000-0003-2531-5503 ; 0000-0001-7506-9668 ; 0000-0002-6709-0982</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8633739/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8633739/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,1598,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34859179$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lambers, Moritz</creatorcontrib><creatorcontrib>Bruder, Oliver</creatorcontrib><creatorcontrib>Wieneke, Heinrich</creatorcontrib><creatorcontrib>Nassenstein, Kai</creatorcontrib><title>A spear to the heart—the accidental discovery of a giant cement embolism in the right heart: a case report</title><title>European heart journal : case reports</title><addtitle>Eur Heart J Case Rep</addtitle><description>Background
The incidence of recognized cardiopulmonary cement embolism in the context of percutaneous vertebroplasty varies between 0% and 23%. In most cases, only small fragments embolize in the pulmonary arteries or the right heart cavities. The latter can cause potential harm by right ventricular perforation.
Case summary
A 57-year-old patient was admitted to our department of cardiology due to exertional dyspnoea and chest pain. In the course of further diagnostic tests, a huge cement embolus was accidentally discovered in the right ventricle. The unusual size and length and the threat of ventricular perforation make this case so unique.
Discussion
Large cement embolisms in kyphoplasty settings are possible and associated with the risk of fulminant complications.</description><subject>Cardiology</subject><subject>Case Report</subject><subject>Diagnosis</subject><subject>Embolism</subject><subject>Heart</subject><issn>2514-2119</issn><issn>2514-2119</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><recordid>eNqFkc1KxDAUhYMoKurSrQTcuKmT9LZp60IYBv9AcKPrkKbJNNI2JYnC7HwIn9AnMdpRFATJIpd7v3s4yUHokJJTSiqYqfZRutkqiBqAbaDdNKdZklJabf6od9CB94-EkJRAxQrYRjuQlXlFi2oXdXPsRyUcDhaHVuE21uHt5fWjFlKaRg1BdLgxXtpn5VbYaizw0oghYKn6OMWqr21nfI_N8CnhzLINk9BZZKXwsadG68I-2tKi8-pgfe-hh8uL-8V1cnt3dbOY3yYyy7OQAMgih6whVfSoVVpDCVJDymhZRIAVNaSZ1qLQZZPTMmVZXgvQORDZZLVUsIfOJ93xqe5VI6NLJzo-OtMLt-JWGP57MpiWL-0zLxlAAVUUOJ4ElqJT3AzaRkz28RP4vGAlsOiPRer0DyqeRvVG2kFpE_u_FpJpQTrrvVP62xIl_CNQ_hkoXwca-aOf7_imv-KLwMkE2KfxH613dPasvg</recordid><startdate>20211101</startdate><enddate>20211101</enddate><creator>Lambers, Moritz</creator><creator>Bruder, Oliver</creator><creator>Wieneke, Heinrich</creator><creator>Nassenstein, Kai</creator><general>Oxford University Press</general><scope>TOX</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4005-3196</orcidid><orcidid>https://orcid.org/0000-0003-2531-5503</orcidid><orcidid>https://orcid.org/0000-0001-7506-9668</orcidid><orcidid>https://orcid.org/0000-0002-6709-0982</orcidid></search><sort><creationdate>20211101</creationdate><title>A spear to the heart—the accidental discovery of a giant cement embolism in the right heart: a case report</title><author>Lambers, Moritz ; Bruder, Oliver ; Wieneke, Heinrich ; Nassenstein, Kai</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c454t-33c7534d09917fe2b383cf32618745467b324ffa7f8d5182645ba3f530cd4bce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Cardiology</topic><topic>Case Report</topic><topic>Diagnosis</topic><topic>Embolism</topic><topic>Heart</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lambers, Moritz</creatorcontrib><creatorcontrib>Bruder, Oliver</creatorcontrib><creatorcontrib>Wieneke, Heinrich</creatorcontrib><creatorcontrib>Nassenstein, Kai</creatorcontrib><collection>Oxford Journals Open Access Collection</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European heart journal : case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lambers, Moritz</au><au>Bruder, Oliver</au><au>Wieneke, Heinrich</au><au>Nassenstein, Kai</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A spear to the heart—the accidental discovery of a giant cement embolism in the right heart: a case report</atitle><jtitle>European heart journal : case reports</jtitle><addtitle>Eur Heart J Case Rep</addtitle><date>2021-11-01</date><risdate>2021</risdate><volume>5</volume><issue>11</issue><spage>ytab336</spage><pages>ytab336-</pages><issn>2514-2119</issn><eissn>2514-2119</eissn><abstract>Background
The incidence of recognized cardiopulmonary cement embolism in the context of percutaneous vertebroplasty varies between 0% and 23%. In most cases, only small fragments embolize in the pulmonary arteries or the right heart cavities. The latter can cause potential harm by right ventricular perforation.
Case summary
A 57-year-old patient was admitted to our department of cardiology due to exertional dyspnoea and chest pain. In the course of further diagnostic tests, a huge cement embolus was accidentally discovered in the right ventricle. The unusual size and length and the threat of ventricular perforation make this case so unique.
Discussion
Large cement embolisms in kyphoplasty settings are possible and associated with the risk of fulminant complications.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>34859179</pmid><doi>10.1093/ehjcr/ytab336</doi><orcidid>https://orcid.org/0000-0002-4005-3196</orcidid><orcidid>https://orcid.org/0000-0003-2531-5503</orcidid><orcidid>https://orcid.org/0000-0001-7506-9668</orcidid><orcidid>https://orcid.org/0000-0002-6709-0982</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2514-2119 |
| ispartof | European heart journal : case reports, 2021-11, Vol.5 (11), p.ytab336 |
| issn | 2514-2119 2514-2119 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8633739 |
| source | Oxford Journals Open Access Collection; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Cardiology Case Report Diagnosis Embolism Heart |
| title | A spear to the heart—the accidental discovery of a giant cement embolism in the right heart: a case report |
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