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Ann Thorac Surg 2002;74:1706-1708
© 2002 The Society of Thoracic Surgeons

Case report

Management of pulmonary embolism during acrylic vertebroplasty

Piergiorgio Tozzi, MDa*, Yasmine Abdelmoumene, MDb, Antonio F. Corno, MDa, Philip A. Gersbach, MDa, Henri-Marcel Hoogewoudc, Ludwig K. von Segesser, MDa

a Department of Cardiovascular Surgery, Lausanne, Switzerland
b Radiology, Centre Hôpitalier Universitaire Vaudois—CHUV, Lausanne, Switzerland
c Department of Radiology, Hôpital Cantonale Fribourg, Fribourg, Switzerland

Accepted for publication June 20, 2002.

* Address reprint requests to Dr Tozzi, Service de Chirurgie Cardiovasculaire—BH10, Centre Hôpitalier Universitaire Vaudois—CHUV, Rue du Bugnon 46, 1011 Lausanne, Switzerland
e-mail: tozzig{at}hotmail.com

A 55-year-old man diagnosed with osteogenesis imperfecta had multiple pulmonary embolism from acrylic cement during vertebroplasty. The patient immediately developed respiratory distress, renal failure, and right cardiac failure. A computed tomographic scan showed the presence of cement in the right and left pulmonary arteries, and in both lungs. Cardiac and respiratory functions did not improve with medical treatment, therefore the patient underwent pulmonary artery embolectomy. Cement was easily removed from both pulmonary arteries. The patient quickly recovered from respiratory and cardiac failure. We believe pulmonary embolectomy is a reliable and effective procedure to treat this rare and dreadful complication of acrylic vertebroplasty.




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