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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

Lung window of CTPA: Showing right lower lobe peripheral wedge shape shadow with branching linear opacity. Suggestive of pulmonary infarct with an embolized vessel
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Figure 5: Lung window of CTPA: Showing right lower lobe peripheral wedge shape shadow with branching linear opacity. Suggestive of pulmonary infarct with an embolized vessel

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)

Lung window of CTPA: Showing right lower lobe peripheral wedge shape shadow with branching linear opacity. Suggestive of pulmonary infarct with an embolized vessel
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 5: Lung window of CTPA: Showing right lower lobe peripheral wedge shape shadow with branching linear opacity. Suggestive of pulmonary infarct with an embolized vessel
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.


Related in: MedlinePlus