Intracardial Cement in Postanesthesia Care Unit

Education| November 2021 Intracardial Cement in Postanesthesia Care Unit Changlong Qiao, M.D.; Changlong Qiao, M.D. From the Department of Anesthesiology and Perioperative Medicine, The First Affiliated Hospital of Shandong First Medical University and Shandong Provincial Qianfoshan Hospital, Shandong Institute of Anesthesia and Respiratory Critical Care Medicine, Jinan, China Search for other works by this author on: This Site PubMed Google Scholar Meng Lv, M.D., Ph.D.; Meng Lv, M.D., Ph.D. From the Department of Anesthesiology and Perioperative Medicine, The First Affiliated Hospital of Shandong First Medical University and Shandong Provincial Qianfoshan Hospital, Shandong Institute of Anesthesia and Respiratory Critical Care Medicine, Jinan, China Search for other works by this author on: This Site PubMed Google Scholar Yuelan Wang, M.D., Ph.D. Yuelan Wang, M.D., Ph.D. From the Department of Anesthesiology and Perioperative Medicine, The First Affiliated Hospital of Shandong First Medical University and Shandong Provincial Qianfoshan Hospital, Shandong Institute of Anesthesia and Respiratory Critical Care Medicine, Jinan, China Search for other works by this author on: This Site PubMed Google Scholar Author and Article Information Published online first on September 14, 2021. Address correspondence to Dr. Wang: wyldgf@163.com Anesthesiology November 2021, Vol. 135, 893. https://doi.org/10.1097/ALN.0000000000003957 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Twitter LinkedIn Cite Icon Cite Get Permissions Search Site Citation Changlong Qiao, Meng Lv, Yuelan Wang; Intracardial Cement in Postanesthesia Care Unit. Anesthesiology 2021; 135:893 doi: https://doi.org/10.1097/ALN.0000000000003957 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu nav search search input Search input auto suggest search filter All ContentAll PublicationsAnesthesiology Search Advanced Search Topics: postoperative anesthesia care unit A 59-yr-old female presented with worsening shortness of breath and chest pain in the postoperative anesthesia care unit 2 h after vertebroplasty with cementing. Stat chest computed tomography revealed intracardial foreign body and pericardial effusion (panel A). Considering the recent cementing, the foreign body was suspected to be cement. An urgent surgical intervention was prepared. After induction, transesophageal echocardiography showed pericardial effusion and a highly echogenic object floating in the right atrium and right ventricle with one end pointing to the right ventricle free wall (panel B). The chest was opened under cardiopulmonary bypass and transesophageal echocardiography guidance. U-shaped cement with a 5-cm long arm and 4-cm short arm was removed from the right atrium (panel C). The cement was rigid and both ends were sharp. Vertebroplasty with cementing can cause cement embolism,1 more commonly seen as pulmonary cement embolism. Small emboli may not be clinically... You do not currently have access to this content.