Extreme Pulmonary Embolism Secondary to Cement Embolism within the Inferior Vena Cava after Percutaneous Vertebroplasty.
Ann Vasc Surg. 2018 Feb 16;:
Authors: Yuan Z, Zhou Y, Zhou X, Liao X
Cement pulmonary embolism (cPE) and inferior vena cava embolism (cIE) are uncommon however doubtlessly life-threatening problems of percutaneous vertebroplasty (PVP). Most cPE and cIE happen concurrently. On this case, a 65-year-old lady complained of dyspnea after PVP for four days. The affected person’s symptom and picture assessments manifested that the cPE was secondary to cIE. Although the cIE was discovered on the primary day after PVP, native surgeons handled the affected person with a daily anticoagulant as an alternative of simpler therapeutic measures. Ultimately, the lengthy cement inferior vena cava embolus broke, and was deposited within the left pulmonary embolism through systemic circulation. The affected person was admitted to our hospital the place we carried out embolectomy by cardiopulmonary bypass (CPB), and discharged her after seven days. We report this case to point out that cIE embolism remains to be underestimated by some backbone surgeons in China, and that it might develop to extreme cPE throughout conservation administration with anticoagulation.
PMID: 29458084 [PubMed – as supplied by publisher]