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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{dagger}

From the *Department of Anesthesiology, College of Medicine, Seoul National University, Seoul, Korea; and {dagger}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.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2007 by the International Anesthesia Research Society.