CASE REPORT article
Front. Surg.
Sec. Orthopedic Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1608784
This article is part of the Research TopicMinimally Invasive Treatments for Lumbar Spine DisordersView all 17 articles
Bone Cement Leakage in the Right Heart: A Rare Case of Misinterpreted Echocardiographic Findings
Provisionally accepted
- Yinzhou No.2 Hospital, Ningbo, China
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Bone cement leakage is a relatively common complication following percutaneous vertebroplasty (PVP); however, cement migration to the heart via the venous system is rare, causing severe chest pain and dyspnea. This case reports an 80-year-old male who presented to the Department of Infectious Diseases with mild fever, two months after undergoing PVP for a compression fracture of the third lumbar vertebra. A chest computed tomography initially misidentified the lesion as a pacemaker lead within the right ventricle. However, echocardiography revealed that the distal bone cement was embedded in the myocardium of the right ventricular apex, leading to the diagnosis of bone cement leakage. Thereafter, the patient underwent an open-chest procedure with direct cardiac visualization for cement removal in the cardiac surgery department.
Keywords: Percutaneous vertebroplasty, Bone cement leakage, Echocardiography, computed tomography, case report
Received: 09 Apr 2025; Accepted: 20 Jun 2025.
Copyright: © 2025 Kong, Xie, Jin and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Yong Jin, Yinzhou No.2 Hospital, Ningbo, China
Yizhen Zhang, Yinzhou No.2 Hospital, Ningbo, China
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