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Pulmonary cement embolization after vertebroplasty, an uncommon presentation of pulmonary embolism: A case report and literature review.

Sinha N, Padegal V, Satyanarayana S, Santosh HK - Lung India (2015 Nov-Dec)

Bottom Line: There is no clear guideline for management of this entity.There is no definite protocol for anticoagulation in PCE.She was successfully managed without long term anticoagulation.

View Article: PubMed Central - PubMed

Affiliation: Department of Respiratory Medicine, Fortis Hospitals, Bangaluru, Karnataka, India.

ABSTRACT
Pulmonary Cement Embolization (PCE) is a rare complication of vertebroplasty surgery. There is no clear guideline for management of this entity. There is no definite protocol for anticoagulation in PCE. This is a case report of our patient who was diagnosed to have Pulmonary Cement Embolization, which was quite significant involving both lungs. She was successfully managed without long term anticoagulation.

No MeSH data available.


Related in: MedlinePlus

Chest X-ray PA view showing linear branching opacities in all zones of both lungs with right lower zone haziness
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Figure 1: Chest X-ray PA view showing linear branching opacities in all zones of both lungs with right lower zone haziness

Mentions: Her chest X-ray PA view [Figure 1] showed linear branching opacities in all zones of both lungs. This was not seen on the pre-operative chest x ray [Figure 2]. Her blood gas analysis was normal. Two dimensional Trans thoracic echocardiography was done and it showed normal cardiac chambers with estimated pulmonary artery systolic pressure of 25 mmHg. A possibility of Cement embolization in pulmonary vasculature was considered. She was started on intravenous analgesics, Inj. Tramadol 50 mg three times a day, followed by Diclofenac Transdermal patch for chest pain. She was hemodynamically stable and had normal oxygenation throughout her stay.


Pulmonary cement embolization after vertebroplasty, an uncommon presentation of pulmonary embolism: A case report and literature review.

Sinha N, Padegal V, Satyanarayana S, Santosh HK - Lung India (2015 Nov-Dec)

Chest X-ray PA view showing linear branching opacities in all zones of both lungs with right lower zone haziness
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4663864&req=5

Figure 1: Chest X-ray PA view showing linear branching opacities in all zones of both lungs with right lower zone haziness
Mentions: Her chest X-ray PA view [Figure 1] showed linear branching opacities in all zones of both lungs. This was not seen on the pre-operative chest x ray [Figure 2]. Her blood gas analysis was normal. Two dimensional Trans thoracic echocardiography was done and it showed normal cardiac chambers with estimated pulmonary artery systolic pressure of 25 mmHg. A possibility of Cement embolization in pulmonary vasculature was considered. She was started on intravenous analgesics, Inj. Tramadol 50 mg three times a day, followed by Diclofenac Transdermal patch for chest pain. She was hemodynamically stable and had normal oxygenation throughout her stay.

Bottom Line: There is no clear guideline for management of this entity.There is no definite protocol for anticoagulation in PCE.She was successfully managed without long term anticoagulation.

View Article: PubMed Central - PubMed

Affiliation: Department of Respiratory Medicine, Fortis Hospitals, Bangaluru, Karnataka, India.

ABSTRACT
Pulmonary Cement Embolization (PCE) is a rare complication of vertebroplasty surgery. There is no clear guideline for management of this entity. There is no definite protocol for anticoagulation in PCE. This is a case report of our patient who was diagnosed to have Pulmonary Cement Embolization, which was quite significant involving both lungs. She was successfully managed without long term anticoagulation.

No MeSH data available.


Related in: MedlinePlus