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Ann Thorac Surg 2009;87:299-301. doi:10.1016/j.athoracsur.2008.05.074
© 2009 The Society of Thoracic Surgeons
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Baris Caynak
Ertan Sagbas
Belhhan Akpinar
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Case Reports

Cardiac Tamponade and Pulmonary Embolism as a Complication of Percutaneous Vertebroplasty

Baris Caynak, MD, Burak Onan, MD*, Ertan Sagbas, MD, Cihan Duran, MD, Belhhan Akpinar, MD

Department of Cardiovascular Surgery and Radiology, Florence Nightingale Hospital, Istanbul Bilim University, Istanbul, Turkey

Accepted for publication May 27, 2008.

* Address correspondence to Dr Onan, Mazharbey cad. Atilay sok. Memil apt 26/14 Göztepe, Kadikoy, Istanbul, 34730, Turkey (Email: burakonan{at}hotmail.com).

Percutaneous vertebroplasty is a useful and safe therapeutic intervention to stabilize vertebral fractures. Rarely, cement leakage into the paravertebral venous system may result in embolization of its particles into the right cardiac chambers and pulmonary artery. We experienced a case of a 64-year-old woman who was diagnosed through echocardiography as having cardiac tamponade. Previously, the patient was treated for pulmonary cement embolization after percutaneous vertebroplasty. Prompt diagnosis and urgent surgery, in which a few linear cement particles of 1-cm to 2-cm long were discovered within the pericardial space, which resulted in a favorable outcome.






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