A rare case of right atrial perforation and pericardial tamponade following leakage of bone cement
Abstract Background Percutaneous vertebroplasty is commonly used to treats vertebral fractures, tumors, and osteolytic vertebral metastases. However, cement leakage during the procedure can lead to severe complications, including cardiac perforation. This report presents a case of right atrial perfo...
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| Format: | Article |
| Language: | English |
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BMC
2025-04-01
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| Series: | Journal of Cardiothoracic Surgery |
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| Online Access: | https://doi.org/10.1186/s13019-025-03403-z |
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| author | Renlang Liu Zhirong Wang Zhiwei Zhang Hong You Qi Ai Wancun Jin Qin Wu |
| author_facet | Renlang Liu Zhirong Wang Zhiwei Zhang Hong You Qi Ai Wancun Jin Qin Wu |
| author_sort | Renlang Liu |
| collection | DOAJ |
| description | Abstract Background Percutaneous vertebroplasty is commonly used to treats vertebral fractures, tumors, and osteolytic vertebral metastases. However, cement leakage during the procedure can lead to severe complications, including cardiac perforation. This report presents a case of right atrial perforation and pulmonary embolism caused by cement leakage, emphasizing the clinical significance of these events and discussing the treatment strategy. Case presentation A 57-year-old female was admitted to the hospital with a slipped lumbar vertebra and back pain, for which she underwent percutaneous vertebroplasty. On the 10th postoperative day, the patient suddenly developed chest tightness and shortness of breath, accompanied by a gradual decline in hemoglobin levels. After several imaging studies, a diagnosis of right atrial perforation caused by bone cement was confirmed. The patient subsequently underwent open cardiac foreign body removal and made a full recovery, with no residual cardiac dysfunction. Conclusion This case highlights the rare but serious complication of right atrial perforation caused by bone cement leakage during percutaneous vertebroplasty. The report emphasizes the importance of early identification of bone cement-related complications. While conservative management may suffice for pulmonary embolism, urgent surgical treatment is required for cardiac cement embolism to prevent further complications. |
| format | Article |
| id | doaj-art-a389f94bfc504c3884be013c2f2c2ea7 |
| institution | OA Journals |
| issn | 1749-8090 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj-art-a389f94bfc504c3884be013c2f2c2ea72025-08-20T02:25:41ZengBMCJournal of Cardiothoracic Surgery1749-80902025-04-012011710.1186/s13019-025-03403-zA rare case of right atrial perforation and pericardial tamponade following leakage of bone cementRenlang Liu0Zhirong Wang1Zhiwei Zhang2Hong You3Qi Ai4Wancun Jin5Qin Wu6Department of Cardiovascular Surgery, The Second Xiangya Hospital of Central South UniversityDepartment of Cardiovascular Surgery, The Second Xiangya Hospital of Central South UniversityDepartment of Cardiovascular Surgery, The Second Xiangya Hospital of Central South UniversityDepartment of Cardiovascular Surgery, The Second Xiangya Hospital of Central South UniversityDepartment of Cardiovascular Surgery, The Second Xiangya Hospital of Central South UniversityDepartment of Cardiovascular Surgery, The Second Xiangya Hospital of Central South UniversityDepartment of Cardiovascular Surgery, The Second Xiangya Hospital of Central South UniversityAbstract Background Percutaneous vertebroplasty is commonly used to treats vertebral fractures, tumors, and osteolytic vertebral metastases. However, cement leakage during the procedure can lead to severe complications, including cardiac perforation. This report presents a case of right atrial perforation and pulmonary embolism caused by cement leakage, emphasizing the clinical significance of these events and discussing the treatment strategy. Case presentation A 57-year-old female was admitted to the hospital with a slipped lumbar vertebra and back pain, for which she underwent percutaneous vertebroplasty. On the 10th postoperative day, the patient suddenly developed chest tightness and shortness of breath, accompanied by a gradual decline in hemoglobin levels. After several imaging studies, a diagnosis of right atrial perforation caused by bone cement was confirmed. The patient subsequently underwent open cardiac foreign body removal and made a full recovery, with no residual cardiac dysfunction. Conclusion This case highlights the rare but serious complication of right atrial perforation caused by bone cement leakage during percutaneous vertebroplasty. The report emphasizes the importance of early identification of bone cement-related complications. While conservative management may suffice for pulmonary embolism, urgent surgical treatment is required for cardiac cement embolism to prevent further complications.https://doi.org/10.1186/s13019-025-03403-zBone cement leakageHeart perforationEchocardiography |
| spellingShingle | Renlang Liu Zhirong Wang Zhiwei Zhang Hong You Qi Ai Wancun Jin Qin Wu A rare case of right atrial perforation and pericardial tamponade following leakage of bone cement Journal of Cardiothoracic Surgery Bone cement leakage Heart perforation Echocardiography |
| title | A rare case of right atrial perforation and pericardial tamponade following leakage of bone cement |
| title_full | A rare case of right atrial perforation and pericardial tamponade following leakage of bone cement |
| title_fullStr | A rare case of right atrial perforation and pericardial tamponade following leakage of bone cement |
| title_full_unstemmed | A rare case of right atrial perforation and pericardial tamponade following leakage of bone cement |
| title_short | A rare case of right atrial perforation and pericardial tamponade following leakage of bone cement |
| title_sort | rare case of right atrial perforation and pericardial tamponade following leakage of bone cement |
| topic | Bone cement leakage Heart perforation Echocardiography |
| url | https://doi.org/10.1186/s13019-025-03403-z |
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