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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.


CTPA showing bilateral linear radio opaque material in Pulmonary arterial branches peripherally
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Figure 3: CTPA showing bilateral linear radio opaque material in Pulmonary arterial branches peripherally

Mentions: In view of persistence of chest pain, CT Pulmonary Angiogram (CTPA) along with non-contrast CT cuts was obtained. CTPA showed no focal filling defects in Main pulmonary trunk, right, left and segmental pulmonary arteries but it showed branching vascular linear radio densities in proximal and distal sub segmental pulmonary arterial branches bilaterally [Figure 3], consistent with Cement embolization. These branching radio opaque densities could also be seen in non-contrast CT image [Figure 4], consistent with radio opaque bone cement. Lung windows [Figure 5] revealed peripheral wedge shaped consolidation in right lower lobe lateral basal segment with internal branching radio densities, possibly pulmonary infarct. Trans esophageal echocardiography ruled out a source of embolization from the cardiac valves or chambers. Figure 6 shows X-ray of lateral view of spine showing bone cement.


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)

CTPA showing bilateral linear radio opaque material in Pulmonary arterial branches peripherally
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 3: CTPA showing bilateral linear radio opaque material in Pulmonary arterial branches peripherally
Mentions: In view of persistence of chest pain, CT Pulmonary Angiogram (CTPA) along with non-contrast CT cuts was obtained. CTPA showed no focal filling defects in Main pulmonary trunk, right, left and segmental pulmonary arteries but it showed branching vascular linear radio densities in proximal and distal sub segmental pulmonary arterial branches bilaterally [Figure 3], consistent with Cement embolization. These branching radio opaque densities could also be seen in non-contrast CT image [Figure 4], consistent with radio opaque bone cement. Lung windows [Figure 5] revealed peripheral wedge shaped consolidation in right lower lobe lateral basal segment with internal branching radio densities, possibly pulmonary infarct. Trans esophageal echocardiography ruled out a source of embolization from the cardiac valves or chambers. Figure 6 shows X-ray of lateral view of spine showing bone cement.

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.