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Lambers M, Bruder O, Wieneke H, et al. A spear to the heart-the accidental discovery of a giant cement embolism in the right heart: a case report. Eur Heart J Case Rep. 2021;5(11):ytab336doi: 10.1093/ehjcr/ytab336.
Lambers, M., Bruder, O., Wieneke, H., & Nassenstein, K. (2021). A spear to the heart-the accidental discovery of a giant cement embolism in the right heart: a case report. European heart journal. Case reports, 5(11), ytab336. https://doi.org/10.1093/ehjcr/ytab336
Lambers, Moritz, et al. "A spear to the heart-the accidental discovery of a giant cement embolism in the right heart: a case report." European heart journal. Case reports vol. 5,11 (2021): ytab336. doi: https://doi.org/10.1093/ehjcr/ytab336
Lambers M, Bruder O, Wieneke H, Nassenstein K. A spear to the heart-the accidental discovery of a giant cement embolism in the right heart: a case report. Eur Heart J Case Rep. 2021 Aug 25;5(11):ytab336. doi: 10.1093/ehjcr/ytab336. eCollection 2021 Nov. PMID: 34859179; PMCID: PMC8633739.
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Eur Heart J Case Rep. 2021 Aug 25;5(11):ytab336. doi: 10.1093/ehjcr/ytab336. eCollection 2021 Nov.

A spear to the heart-the accidental discovery of a giant cement embolism in the right heart: a case report.

European heart journal. Case reports

Moritz Lambers, Oliver Bruder, Heinrich Wieneke, Kai Nassenstein

Affiliations

  1. Department of Cardiology and Angiology, Contilia Heart and Vascular Center, Elisabeth-Krankenhaus Essen, Klara-Kopp-Weg 1, 45138 Essen, Germany.
  2. Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany.

PMID: 34859179 PMCID: PMC8633739 DOI: 10.1093/ehjcr/ytab336

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.

© The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology.

Keywords: Case report; Cement embolism; Heart; Kyphoplasty; Ventricular perforation

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