Massive mass embolism detected by transesophageal echocardiography in bone cement implantation syndrome: a case report
Abstract Bone cement implantation syndrome (BCIS) is a known complication in patients undergoing cemented orthopedic surgeries; however, the etiology and pathophysiology of BCIS are not fully understood. We report the case of a patient who developed pulseless electrical activity (PEA) due to BCIS af...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2019-01-01
|
| Series: | JA Clinical Reports |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40981-019-0225-2 |
| _version_ | 1818411839518670848 |
|---|---|
| author | Yuki Izumi Satoshi Ishihara Ivor Cammack Ikuko Miyawaki |
| author_facet | Yuki Izumi Satoshi Ishihara Ivor Cammack Ikuko Miyawaki |
| author_sort | Yuki Izumi |
| collection | DOAJ |
| description | Abstract Bone cement implantation syndrome (BCIS) is a known complication in patients undergoing cemented orthopedic surgeries; however, the etiology and pathophysiology of BCIS are not fully understood. We report the case of a patient who developed pulseless electrical activity (PEA) due to BCIS after cemented femoral head replacement. Transesophageal echocardiography (TEE) during PEA revealed a massive embolus extending from the main pulmonary artery to the inferior vena cava. Of note, this embolus disappeared completely and rapidly after return of spontaneous circulation. TEE proved to be useful in the diagnosis and management of this case of PEA. |
| first_indexed | 2024-12-14T10:37:47Z |
| format | Article |
| id | doaj.art-4e4a42268f5b451e8cb6c8be99280ea8 |
| institution | Directory Open Access Journal |
| issn | 2363-9024 |
| language | English |
| last_indexed | 2024-12-14T10:37:47Z |
| publishDate | 2019-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj.art-4e4a42268f5b451e8cb6c8be99280ea82022-12-21T23:05:50ZengSpringerOpenJA Clinical Reports2363-90242019-01-01511310.1186/s40981-019-0225-2Massive mass embolism detected by transesophageal echocardiography in bone cement implantation syndrome: a case reportYuki Izumi0Satoshi Ishihara1Ivor Cammack2Ikuko Miyawaki3Department of Anesthesiology and Critical Care, Teine Keijinkai HospitalDepartment of Anesthesiology and Critical Care, Teine Keijinkai HospitalDepartment of Clinical Residency, Teine Keijinkai HospitalDepartment of Anesthesiology and Critical Care, Kobe City Medical Center General HospitalAbstract Bone cement implantation syndrome (BCIS) is a known complication in patients undergoing cemented orthopedic surgeries; however, the etiology and pathophysiology of BCIS are not fully understood. We report the case of a patient who developed pulseless electrical activity (PEA) due to BCIS after cemented femoral head replacement. Transesophageal echocardiography (TEE) during PEA revealed a massive embolus extending from the main pulmonary artery to the inferior vena cava. Of note, this embolus disappeared completely and rapidly after return of spontaneous circulation. TEE proved to be useful in the diagnosis and management of this case of PEA.http://link.springer.com/article/10.1186/s40981-019-0225-2Bone cement implantation syndrome (BCIS)Cemented orthopedic surgeriesPulmonary embolism (PE)Transesophageal echocardiography (TEE) |
| spellingShingle | Yuki Izumi Satoshi Ishihara Ivor Cammack Ikuko Miyawaki Massive mass embolism detected by transesophageal echocardiography in bone cement implantation syndrome: a case report JA Clinical Reports Bone cement implantation syndrome (BCIS) Cemented orthopedic surgeries Pulmonary embolism (PE) Transesophageal echocardiography (TEE) |
| title | Massive mass embolism detected by transesophageal echocardiography in bone cement implantation syndrome: a case report |
| title_full | Massive mass embolism detected by transesophageal echocardiography in bone cement implantation syndrome: a case report |
| title_fullStr | Massive mass embolism detected by transesophageal echocardiography in bone cement implantation syndrome: a case report |
| title_full_unstemmed | Massive mass embolism detected by transesophageal echocardiography in bone cement implantation syndrome: a case report |
| title_short | Massive mass embolism detected by transesophageal echocardiography in bone cement implantation syndrome: a case report |
| title_sort | massive mass embolism detected by transesophageal echocardiography in bone cement implantation syndrome a case report |
| topic | Bone cement implantation syndrome (BCIS) Cemented orthopedic surgeries Pulmonary embolism (PE) Transesophageal echocardiography (TEE) |
| url | http://link.springer.com/article/10.1186/s40981-019-0225-2 |
| work_keys_str_mv | AT yukiizumi massivemassembolismdetectedbytransesophagealechocardiographyinbonecementimplantationsyndromeacasereport AT satoshiishihara massivemassembolismdetectedbytransesophagealechocardiographyinbonecementimplantationsyndromeacasereport AT ivorcammack massivemassembolismdetectedbytransesophagealechocardiographyinbonecementimplantationsyndromeacasereport AT ikukomiyawaki massivemassembolismdetectedbytransesophagealechocardiographyinbonecementimplantationsyndromeacasereport |