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Palacos im Herzen

Cardiac perforation after vertebroplasty

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Zusammenfassung

Die perkutane Vertebroplastie ist ein seit über 20 Jahren eingesetztes minimalinvasives Verfahren zur Behandlung von Wirbelkörperfrakturen. Es wird über eine Patientin berichtet, bei der es periinterventionell zu einer Embolisation von Knochenzement in die Lungenstrombahn und den rechten Ventrikel kam; hierbei wurde die Herzwand perforiert. Durch die Kombination der Komplikationen, die Vorerkrankungen der Patientin und eine spätere, erneute Embolisation wurde die Diagnosestellung verzögert.

Abstract

For more than 20 years percutaneous vertebroplasty has been used in the minimally invasive treatment of vertebral fractures. We report on a patient with embolisation of bone cement into the pulmonary artery and the right ventricle, which was perforated. The final diagnosis was delayed due to a combination of complications, previous disorders as well as a second embolisation.

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Authors and Affiliations

  1. Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Klinikum der Johann Wolfgang- Goethe Universität Frankfurt a.M., Theodor-Stern-Kai 7, 60590, Frankfurt a.M., Deutschland

    B. Schoenes &  D. Meininger

  2. Klinik für Diagnostische und Interventionelle Radiologie, Klinikum der Johann Wolfgang Goethe- Universität Frankfurt a.M., Frankfurt a.M., Deutschland

    A. Thalhammer

  3. Klinik für Thorax- Herz- und Thorakale Gefäßchirurgie, Klinikum der Johann Wolfgang Goethe- Universität Frankfurt a.M., Frankfurt a.M., Deutschland

    P.S. Risteski

  4. Abteilung für Anästhesiologie und operative Intensivmedizin, St. Vincenz- Krankenhaus Limburg, Limburg, Deutschland

    D.H. Bremerich

Authors
  1. B. Schoenes
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  2. D.H. Bremerich
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  3. P.S. Risteski
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  4. A. Thalhammer
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  5. D. Meininger
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Corresponding author

Correspondence to D. Meininger.

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Schoenes, B., Bremerich, D., Risteski, P. et al. Palacos im Herzen. Anaesthesist 57, 147–150 (2008). https://doi.org/10.1007/s00101-007-1276-8

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  • DOI: https://doi.org/10.1007/s00101-007-1276-8

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