Extreme pulmonary embolism was secondary to cement inferior vena cava embolism after percutaneous vertebroplasty.
Ann Vasc Surg. 2018 Feb 08;:
Authors: Yuan Z, Zhou Y, Zhou X, Liao X
Summary
Cement pulmonary embolism (cPE) and inferior vena cava embolism (cIE) are uncommon however doubtlessly life-threatening issues of percutaneous vertebroplasty (PVP). Most cPE and cIE occured concurrently. On this case, a 65-year-old girl complained of dyspnea after PVP for four days. Affected person’s symptom and picture checks manifest that the cPE was secondary to cIE. Though cIE was discovered on the first day after PVP, the native surgeons deal with the affected person with a daily anticoagulant with out one other more practical therapeutic measure. Finally, the lengthy cement inferior vena cava embolus damaged and lead to left pulmonary embolism by way of the systemic circulation. She was admitted to our hospital and carried out with embolectomy surgical procedure by cardiopulmonary bypass (CPB), and discharged after seven days. We report this case to indicate that cIE embolism continues to be underestimated by some backbone surgeons in China, and cIE could also be developed to extreme cPE throughout conservation administration with anticoagulation.
PMID: 29428532 [PubMed – as supplied by publisher]