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Case Reports
Perforation of the right cardiac ventricular wall by polymethylmethacrylate after lumbar kyphoplasty.
- Arash Farahvar, Deborah Dubensky, and Robert Bakos.
- Department of Neurological Surgery, University of Rochester Medical Center, Rochester, New York 14642, USA. arash_farahvar@urmc.rochester.edu
- J Neurosurg Spine. 2009 Oct 1;11(4):487-91.
AbstractThe authors report the case of a 74-year-old woman who underwent an L-2 vertebral kyphoplasty. The patient experienced delayed postoperative hemodynamic deterioration that may have been caused by embolization of polymethylmethacrylate (PMMA) cement through the right cardiac ventricular wall. Cardiac and pulmonary embolization of bone cement can develop as a complication of vertebral kyphoplasty. Surgeons should be alert to this potentially life-threatening condition when performing this increasingly popular form of spine procedure.
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