Injecting a ventricular tachycardia into the heart-Α unique case report

J Cardiovasc Electrophysiol. 2023 Aug;34(8):1768-1771. doi: 10.1111/jce.15982. Epub 2023 Jun 30.

Abstract

Introduction: A 52-year-old woman presented with a complex ventricular arrhythmia in an intraoperative context, during kyphoplasty for an osteoporotic fracture of a lumbar vertebra. The subject showed no indications of a previous cardiovascular condition.

Methods and results: Causes of arrhythmias associated with the procedure were excluded. Due to her positive family history for dilated cardiomyopathy, upcoming thoughts were made for unmasking a previous asymptomatic cardiomyopathy. Nevertheless, an intracardiac cement embolism was diagnosed and, finally, the patient underwent an open-heart surgery with successful removal of the cardiac cement. Νo new arrhythmia recorded during follow up.

Conclusion: To the best of our knowledge, this is the first reported case of ventricular arrhythmogenic presentation of a cardiac cement embolus after a KP procedure.

Keywords: cardiopulmonary embolism; cement; dilated cardiomyopathy; kyphoplasty; ventricular tachycardia.

Publication types

  • Case Reports

MeSH terms

  • Arrhythmias, Cardiac
  • Bone Cements
  • Female
  • Heart
  • Humans
  • Kyphoplasty* / methods
  • Middle Aged
  • Tachycardia, Ventricular* / diagnosis
  • Tachycardia, Ventricular* / etiology
  • Tachycardia, Ventricular* / surgery

Substances

  • Bone Cements