Anesth Analg 2007;104:924-926
© 2007 International Anesthesia Research Society
doi: 10.1213/01.ane.0000256974.84535.7a
ANALGESIA
An Intraatrial Thrombus and Pulmonary Thromboembolism as a Late Complication of Percutaneous Vertebroplasty
Kyoung J. Lim, MD*,
Seung Z. Yoon, MD, PhD*,
Yun-Seok Jeon, MD, PhD*,
Jae H. Bahk, MD, PhD*,
Chong S. Kim, MD, PhD*,
Jong-Hwan Lee, MD*, and
Jin Wook Ha, PhD
From the *Department of Anesthesiology, College of Medicine, Seoul National University, Seoul, Korea; and Division of Chemical Engineering, College of Engineering, SoonchunHyang University, Cheon-an, Choongchungnamdo.
Address correspondence and reprint requests to Seung Zhoo Yoon, MD, PhD., Department of Anesthesiology, College of Medicine, Seoul National University, #28 Yeongeon-dong, Jongno-gu, Seoul 110-744, Korea. Address e-mail to monday1031{at}yahoo.co.kr.
Abstract
Although percutaneous vertebroplasty is a simple and generally safe method for the management of vertebral compression fractures, cement leakage outside the vertebral body is a potential source of serious complications. We report a patient who presented with dyspnea and edema five years after percutaneous vertebroplasty and underwent open-heart surgery. This case demonstrates an intraatrial thrombus and pulmonary thromboembolism caused by venous leakage of polymethylmethacrylate as a late complication of the procedure.
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