Intracardiac leakage of cement during artificial femoral head replacement: a case report and review.

IF 1.1 Q4 ONCOLOGY
International journal of clinical and experimental pathology Pub Date : 2024-03-15 eCollection Date: 2024-01-01 DOI:10.62347/FHAR9264
Jin Li, Yanqing Zhang, Hongmei Zhang, Shanyun Jiang, Xindong Wu
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引用次数: 0

Abstract

Bone cement leakage from the femoral medullary cavity is a rare complication following hip replacement. Currently, there are no reports of bone cement leakage into the heart. Here, we report an 81-year-old female patient with right femoral neck fracture. A thorough preoperative examination showed that bone cement had leaked into the heart during right femoral head replacement, leading to the death of the patient that night. Postoperative cardiac ultrasound showed that bone cement entered the vascular system through the femoral medullary cavity and subsequently entered the heart. Extreme deterioration in the patient's condition resulted in death that night. Unfortunately, the patient's family abandoned the idea of surgical removal of foreign bodies, leading to inevitable death. This case emphasizes the risk of clinical manifestations of cardiac embolism of bone cement after artificial femoral head replacement, suggesting that the risk of such embolism might be underestimated. We propose routine real-time C-arm X-ray guidance and injection of an appropriate amount of bone cement to prevent serious cardiopulmonary failure.

人工股骨头置换术中的骨水泥心内漏:病例报告和综述。
股骨髓腔骨水泥渗漏是髋关节置换术后的一种罕见并发症。目前,还没有骨水泥渗漏到心脏的报道。在此,我们报告了一名右股骨颈骨折的 81 岁女性患者。术前全面检查显示,骨水泥在右股骨头置换术中渗入心脏,导致患者当晚死亡。术后心脏超声显示,骨水泥通过股骨髓腔进入血管系统,随后进入心脏。患者病情极度恶化,导致当晚死亡。不幸的是,患者家属放弃了手术取出异物的想法,导致患者不可避免地死亡。本病例强调了人工股骨头置换术后骨水泥栓塞心脏的临床表现风险,提示此类栓塞的风险可能被低估。我们建议常规使用实时C臂X光引导并注入适量骨水泥,以防止严重的心肺功能衰竭。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
自引率
0.00%
发文量
42
审稿时长
1 months
期刊介绍: The International Journal of Clinical and Experimental Pathology (IJCEP, ISSN 1936-2625) is a peer reviewed, open access online journal. It was founded in 2008 by an international group of academic pathologists and scientists who are devoted to the scientific exploration of human disease and the rapid dissemination of original data. Unlike most other open access online journals, IJCEP will keep all the traditional features of paper print that we are all familiar with, such as continuous volume and issue numbers, as well as continuous page numbers to keep our warm feelings towards an academic journal. Unlike most other open access online journals, IJCEP will keep all the traditional features of paper print that we are all familiar with, such as continuous volume and issue numbers, as well as continuous page numbers to keep our warm feelings towards an academic journal.
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