Diagnosis of isolated intracardiac cement embolism causing cardiac rupture via bedside transthoracic echocardiography: a case report
Background Bone cement leakage is a common complication of percutaneous vertebroplasty and may lead to severe complications such as intracardiac cement embolism. Bedside transthoracic echocardiography serves as a crucial tool in the diagnosis of intracardiac cement embolism. Case presentation An eld...
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| Vydané v: | BMC cardiovascular disorders Ročník 25; číslo 1; s. 574 - 7 |
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BioMed Central
02.08.2025
BioMed Central Ltd Springer Nature B.V BMC |
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| Abstract | Background
Bone cement leakage is a common complication of percutaneous vertebroplasty and may lead to severe complications such as intracardiac cement embolism. Bedside transthoracic echocardiography serves as a crucial tool in the diagnosis of intracardiac cement embolism.
Case presentation
An elderly female developed acute sharp chest pain with ST-segment depression two hours postvertebroplasty and was initially suspected to have acute myocardial infarction according to her symptoms/ECGs. Bedside transthoracic echocardiography excluded the diagnosis of wall motion abnormalities but revealed a linear, highly echogenic structure within the right atrium and ventricle chambers. One end of the structure pierced the anterior wall of the right ventricle, and a small volume of pericardial effusion was detected. By integrating the patient’s history of bone cement injection, sonographers quickly changed the diagnosis from infarction to cardiac rupture by cement embolism. A chest computed tomography (CT) scan revealed no abnormalities in the pulmonary artery or its distal branches. The clinicians were able to diagnose isolated intracardiac cement embolism in a timely manner. Surgical thoracotomy was performed to remove the cement from the heart and repair the right ventricle rupture. The patient’s postoperative recovery went smoothly.
Conclusion
Bedside transthoracic echocardiography may aid in the timely diagnosis of intracardiac cement embolism and characterization of its features and assist in the assessment of associated severe complications. This case report can serve as a valuable reference for guiding clinical diagnosis and treatment decisions. |
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| AbstractList | BackgroundBone cement leakage is a common complication of percutaneous vertebroplasty and may lead to severe complications such as intracardiac cement embolism. Bedside transthoracic echocardiography serves as a crucial tool in the diagnosis of intracardiac cement embolism.Case presentationAn elderly female developed acute sharp chest pain with ST-segment depression two hours postvertebroplasty and was initially suspected to have acute myocardial infarction according to her symptoms/ECGs. Bedside transthoracic echocardiography excluded the diagnosis of wall motion abnormalities but revealed a linear, highly echogenic structure within the right atrium and ventricle chambers. One end of the structure pierced the anterior wall of the right ventricle, and a small volume of pericardial effusion was detected. By integrating the patient’s history of bone cement injection, sonographers quickly changed the diagnosis from infarction to cardiac rupture by cement embolism. A chest computed tomography (CT) scan revealed no abnormalities in the pulmonary artery or its distal branches. The clinicians were able to diagnose isolated intracardiac cement embolism in a timely manner. Surgical thoracotomy was performed to remove the cement from the heart and repair the right ventricle rupture. The patient’s postoperative recovery went smoothly.ConclusionBedside transthoracic echocardiography may aid in the timely diagnosis of intracardiac cement embolism and characterization of its features and assist in the assessment of associated severe complications. This case report can serve as a valuable reference for guiding clinical diagnosis and treatment decisions. Bone cement leakage is a common complication of percutaneous vertebroplasty and may lead to severe complications such as intracardiac cement embolism. Bedside transthoracic echocardiography serves as a crucial tool in the diagnosis of intracardiac cement embolism.BACKGROUNDBone cement leakage is a common complication of percutaneous vertebroplasty and may lead to severe complications such as intracardiac cement embolism. Bedside transthoracic echocardiography serves as a crucial tool in the diagnosis of intracardiac cement embolism.An elderly female developed acute sharp chest pain with ST-segment depression two hours postvertebroplasty and was initially suspected to have acute myocardial infarction according to her symptoms/ECGs. Bedside transthoracic echocardiography excluded the diagnosis of wall motion abnormalities but revealed a linear, highly echogenic structure within the right atrium and ventricle chambers. One end of the structure pierced the anterior wall of the right ventricle, and a small volume of pericardial effusion was detected. By integrating the patient's history of bone cement injection, sonographers quickly changed the diagnosis from infarction to cardiac rupture by cement embolism. A chest computed tomography (CT) scan revealed no abnormalities in the pulmonary artery or its distal branches. The clinicians were able to diagnose isolated intracardiac cement embolism in a timely manner. Surgical thoracotomy was performed to remove the cement from the heart and repair the right ventricle rupture. The patient's postoperative recovery went smoothly.CASE PRESENTATIONAn elderly female developed acute sharp chest pain with ST-segment depression two hours postvertebroplasty and was initially suspected to have acute myocardial infarction according to her symptoms/ECGs. Bedside transthoracic echocardiography excluded the diagnosis of wall motion abnormalities but revealed a linear, highly echogenic structure within the right atrium and ventricle chambers. One end of the structure pierced the anterior wall of the right ventricle, and a small volume of pericardial effusion was detected. By integrating the patient's history of bone cement injection, sonographers quickly changed the diagnosis from infarction to cardiac rupture by cement embolism. A chest computed tomography (CT) scan revealed no abnormalities in the pulmonary artery or its distal branches. The clinicians were able to diagnose isolated intracardiac cement embolism in a timely manner. Surgical thoracotomy was performed to remove the cement from the heart and repair the right ventricle rupture. The patient's postoperative recovery went smoothly.Bedside transthoracic echocardiography may aid in the timely diagnosis of intracardiac cement embolism and characterization of its features and assist in the assessment of associated severe complications. This case report can serve as a valuable reference for guiding clinical diagnosis and treatment decisions.CONCLUSIONBedside transthoracic echocardiography may aid in the timely diagnosis of intracardiac cement embolism and characterization of its features and assist in the assessment of associated severe complications. This case report can serve as a valuable reference for guiding clinical diagnosis and treatment decisions. Bone cement leakage is a common complication of percutaneous vertebroplasty and may lead to severe complications such as intracardiac cement embolism. Bedside transthoracic echocardiography serves as a crucial tool in the diagnosis of intracardiac cement embolism. An elderly female developed acute sharp chest pain with ST-segment depression two hours postvertebroplasty and was initially suspected to have acute myocardial infarction according to her symptoms/ECGs. Bedside transthoracic echocardiography excluded the diagnosis of wall motion abnormalities but revealed a linear, highly echogenic structure within the right atrium and ventricle chambers. One end of the structure pierced the anterior wall of the right ventricle, and a small volume of pericardial effusion was detected. By integrating the patient's history of bone cement injection, sonographers quickly changed the diagnosis from infarction to cardiac rupture by cement embolism. A chest computed tomography (CT) scan revealed no abnormalities in the pulmonary artery or its distal branches. The clinicians were able to diagnose isolated intracardiac cement embolism in a timely manner. Surgical thoracotomy was performed to remove the cement from the heart and repair the right ventricle rupture. The patient's postoperative recovery went smoothly. Bedside transthoracic echocardiography may aid in the timely diagnosis of intracardiac cement embolism and characterization of its features and assist in the assessment of associated severe complications. This case report can serve as a valuable reference for guiding clinical diagnosis and treatment decisions. Background Bone cement leakage is a common complication of percutaneous vertebroplasty and may lead to severe complications such as intracardiac cement embolism. Bedside transthoracic echocardiography serves as a crucial tool in the diagnosis of intracardiac cement embolism. Case presentation An elderly female developed acute sharp chest pain with ST-segment depression two hours postvertebroplasty and was initially suspected to have acute myocardial infarction according to her symptoms/ECGs. Bedside transthoracic echocardiography excluded the diagnosis of wall motion abnormalities but revealed a linear, highly echogenic structure within the right atrium and ventricle chambers. One end of the structure pierced the anterior wall of the right ventricle, and a small volume of pericardial effusion was detected. By integrating the patient's history of bone cement injection, sonographers quickly changed the diagnosis from infarction to cardiac rupture by cement embolism. A chest computed tomography (CT) scan revealed no abnormalities in the pulmonary artery or its distal branches. The clinicians were able to diagnose isolated intracardiac cement embolism in a timely manner. Surgical thoracotomy was performed to remove the cement from the heart and repair the right ventricle rupture. The patient's postoperative recovery went smoothly. Conclusion Bedside transthoracic echocardiography may aid in the timely diagnosis of intracardiac cement embolism and characterization of its features and assist in the assessment of associated severe complications. This case report can serve as a valuable reference for guiding clinical diagnosis and treatment decisions. Keywords: Bedside transthoracic echocardiography, Intracardiac cement embolism, Cardiac rupture, Percutaneous vertebroplasty, Case report Bone cement leakage is a common complication of percutaneous vertebroplasty and may lead to severe complications such as intracardiac cement embolism. Bedside transthoracic echocardiography serves as a crucial tool in the diagnosis of intracardiac cement embolism. Bedside transthoracic echocardiography may aid in the timely diagnosis of intracardiac cement embolism and characterization of its features and assist in the assessment of associated severe complications. This case report can serve as a valuable reference for guiding clinical diagnosis and treatment decisions. Background Bone cement leakage is a common complication of percutaneous vertebroplasty and may lead to severe complications such as intracardiac cement embolism. Bedside transthoracic echocardiography serves as a crucial tool in the diagnosis of intracardiac cement embolism. Case presentation An elderly female developed acute sharp chest pain with ST-segment depression two hours postvertebroplasty and was initially suspected to have acute myocardial infarction according to her symptoms/ECGs. Bedside transthoracic echocardiography excluded the diagnosis of wall motion abnormalities but revealed a linear, highly echogenic structure within the right atrium and ventricle chambers. One end of the structure pierced the anterior wall of the right ventricle, and a small volume of pericardial effusion was detected. By integrating the patient’s history of bone cement injection, sonographers quickly changed the diagnosis from infarction to cardiac rupture by cement embolism. A chest computed tomography (CT) scan revealed no abnormalities in the pulmonary artery or its distal branches. The clinicians were able to diagnose isolated intracardiac cement embolism in a timely manner. Surgical thoracotomy was performed to remove the cement from the heart and repair the right ventricle rupture. The patient’s postoperative recovery went smoothly. Conclusion Bedside transthoracic echocardiography may aid in the timely diagnosis of intracardiac cement embolism and characterization of its features and assist in the assessment of associated severe complications. This case report can serve as a valuable reference for guiding clinical diagnosis and treatment decisions. Abstract Background Bone cement leakage is a common complication of percutaneous vertebroplasty and may lead to severe complications such as intracardiac cement embolism. Bedside transthoracic echocardiography serves as a crucial tool in the diagnosis of intracardiac cement embolism. Case presentation An elderly female developed acute sharp chest pain with ST-segment depression two hours postvertebroplasty and was initially suspected to have acute myocardial infarction according to her symptoms/ECGs. Bedside transthoracic echocardiography excluded the diagnosis of wall motion abnormalities but revealed a linear, highly echogenic structure within the right atrium and ventricle chambers. One end of the structure pierced the anterior wall of the right ventricle, and a small volume of pericardial effusion was detected. By integrating the patient’s history of bone cement injection, sonographers quickly changed the diagnosis from infarction to cardiac rupture by cement embolism. A chest computed tomography (CT) scan revealed no abnormalities in the pulmonary artery or its distal branches. The clinicians were able to diagnose isolated intracardiac cement embolism in a timely manner. Surgical thoracotomy was performed to remove the cement from the heart and repair the right ventricle rupture. The patient’s postoperative recovery went smoothly. Conclusion Bedside transthoracic echocardiography may aid in the timely diagnosis of intracardiac cement embolism and characterization of its features and assist in the assessment of associated severe complications. This case report can serve as a valuable reference for guiding clinical diagnosis and treatment decisions. |
| ArticleNumber | 574 |
| Audience | Academic |
| Author | Chen, Fei Hu, Yan-Ze Li, Cong Chen, Yu-Jia |
| Author_xml | – sequence: 1 givenname: Fei surname: Chen fullname: Chen, Fei organization: Department of Ultrasound, The First Hospital of Jiaxing/Affiliated Hospital of Jiaxing University – sequence: 2 givenname: Cong surname: Li fullname: Li, Cong organization: Department of Ultrasound, The First Hospital of Jiaxing/Affiliated Hospital of Jiaxing University – sequence: 3 givenname: Yu-Jia surname: Chen fullname: Chen, Yu-Jia organization: Department of Ultrasound, The First Hospital of Jiaxing/Affiliated Hospital of Jiaxing University – sequence: 4 givenname: Yan-Ze surname: Hu fullname: Hu, Yan-Ze email: hyz15706701897@163.com organization: Department of Pathology, Jiaxing Hospital of Traditional Chinese Medicine |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/40753191$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1093/ehjcr/ytac385 10.1093/ejcts/ezy233 10.21037/atm.2019.06.81 10.1007/s00330-018-5647-0 10.1056/NEJMicm2032931 10.1148/radiol.2511080854 10.1111/jocs.15830 10.1097/ALN.0000000000003957 10.1093/qjmed/hcab285 10.1177/0300060520926005 10.12659/AJCR.897719 10.1161/CIRCIMAGING.120.011849 10.1186/s13019-024-03049-3 10.62713/aic.3515 10.1007/s00586-016-4695-x 10.1093/icvts/ivac292 |
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| Keywords | Case report Cardiac rupture Percutaneous vertebroplasty Intracardiac cement embolism Bedside transthoracic echocardiography |
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Bone cement leakage is a common complication of percutaneous vertebroplasty and may lead to severe complications such as intracardiac cement... Bone cement leakage is a common complication of percutaneous vertebroplasty and may lead to severe complications such as intracardiac cement embolism. Bedside... Background Bone cement leakage is a common complication of percutaneous vertebroplasty and may lead to severe complications such as intracardiac cement... BackgroundBone cement leakage is a common complication of percutaneous vertebroplasty and may lead to severe complications such as intracardiac cement... Abstract Background Bone cement leakage is a common complication of percutaneous vertebroplasty and may lead to severe complications such as intracardiac... |
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| SubjectTerms | Aged Angiology Asymptomatic Bedside transthoracic echocardiography Blood Blood Transfusion Medicine Bone cements Bone Cements - adverse effects Bone implants Bone surgery Cardiac rupture Cardiac Surgery Cardiology Care and treatment Case Report Case reports Causes of Cement Chest Complications Complications and side effects Computed tomography Diagnosis Dyspnea Echocardiography Effusion Electrocardiography Embolism Embolism - diagnostic imaging Embolism - etiology Embolism - surgery Emergency medical care Equipment and supplies Female Foreign bodies (Medical care) Fractures Heart Heart attacks Heart diseases Heart Rupture - diagnostic imaging Heart Rupture - etiology Heart Rupture - surgery Humans Hypertension Internal Medicine Intracardiac cement embolism Medicine Medicine & Public Health Myocardial infarction Pain Patients Percutaneous vertebroplasty Point-of-Care Systems Point-of-Care Testing Polymethyl methacrylate Predictive Value of Tests Pulmonary arteries Pulmonary artery Pulmonary embolisms Rupture Surgery Tomography Treatment Outcome Veins & arteries Ventricle Vertebroplasty Vertebroplasty - adverse effects |
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| Title | Diagnosis of isolated intracardiac cement embolism causing cardiac rupture via bedside transthoracic echocardiography: a case report |
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