neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.17650/1683-3295-2021-23-1-119-123neurosurgery-1018Research ArticleНАБЛЮДЕНИЕ ИЗ ПРАКТИКИFROM PRACTICEСлучай успешного хирургического лечения пациента с цементной эмболией правых камер сердца после вертебропластикиA case of successful surgical treatment of a patient with a cement embolism of the right heart chambers after vertebroplastyhttps://orcid.org/0000-0003-3321-9028МуратовР. М.MuratovR. M.

Россия, 121552 Москва, Рублевское ш., 135

135 Rublevskoe Hwy, Moscow 121552, Russia

https://orcid.org/0000-0003-1489-2305ХрамченковА. Г.KhramchenkovA. G.

Андрей Германович Храмченков

Россия, 121552 Москва, Рублевское ш., 135

Andrey Germanovich Khramchenkov

135 Rublevskoe Hwy, Moscow 121552, Russia

andrew-best89@yandex.ruhttps://orcid.org/0000-0002-7796-4292СачковА. С.SachkovA. S.

Россия, 121552 Москва, Рублевское ш., 135

135 Rublevskoe Hwy, Moscow 121552, Russia

https://orcid.org/0000-0002-2621-4504БабенкоС. И.BabenkoS. I.

Россия, 121552 Москва, Рублевское ш., 135

135 Rublevskoe Hwy, Moscow 121552, Russia

https://orcid.org/0000-0003-1852-7022МещановБ. В.MeshchanovB. V.

Россия, 121552 Москва, Рублевское ш., 135

135 Rublevskoe Hwy, Moscow 121552, Russia

ФГБУ «Национальный медицинский исследовательский центр сердечно-сосудистой хирургии им. А. Н. Бакулева» Минздрава РоссииРоссияA. N. Bakulev National Medical Reseach Center for Cardiovascular Surgery, Ministry of Health of RussiaRussian Federation202104052021231119‑123Copyright © Муратов Р.М., Храмченков А.Г., Сачков А.С., Бабенко С.И., Мещанов Б.В., 20212021Муратов Р.М., Храмченков А.Г., Сачков А.С., Бабенко С.И., Мещанов Б.В.Muratov R.M., Khramchenkov A.G., Sachkov A.S., Babenko S.I., Meshchanov B.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/1018

Цементная эмболия правых камер сердца – редкое осложнение вертебропластики, встречающееся в 4 % случаев. При данном осложнении проводят операцию на открытом сердце в условиях искусственного кровообращения, или консервативное лечение, или эндоваскулярное вмешательство. В случае фатальных осложнений самой эмболии, таких как перфорация сердца с развитием тампонады или жизнеугрожающая аритмия, пациенту показана именно открытая операция в условиях искусственного кровообращения. В научной литературе описано лишь 14 случаев выполнения подобной операции с целью спасения жизни пациента. Нами проведено успешное удаление эмбола из правых камер сердца у пациента 69 лет, который ранее перенес вертебропластику грудных позвонков.

Cement embolism of the right chambers of the heart after vertebral surgery is an extremely rare complication and occurs in 4 % of cases. The strategies for choosing the treatment of this complication are open-heart surgery under conditions of cardiopulmonary bypass, conservative treatment, or endovascular support. In the case of a fatal complication of embolism, such as perforation of the heart with the development of tamponade or life-threatening arrhythmias, the patient is shown an open operation with infrared. According to the literature, only 14 such operations are described, performed to save the patient’s life. We performed a successful operation of embolectomy from the right heart chambers in a 69‑year-old patient who had previously undergone vertebroplasty of the thoracic vertebrae.

цементная эмболия камер сердцалегочная цементная эмболиявертебропластикаcement embolism of the heart chamberspulmonary cement embolismvertebroplastyReferencesGalibert P., Deramond H., Rosat P., Le Gars D. Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty. Neurochirurgie 1987;33(2):166–8.Galibert P., Deramond H., Rosat P., Le Gars D. Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty. Neurochirurgie 1987;33(2):166–8.Yue J.J., Guyer R., Johnson J.P. et al. The comprehensive treatment of the aging spine: minimally invasive and advanced techniques. Philadelphia: Elsevier, 2011. 496 p.Yue J.J., Guyer R., Johnson J.P. et al. The comprehensive treatment of the aging spine: minimally invasive and advanced techniques. Philadelphia: Elsevier, 2011. 496 p.Venmans A., Klazen C.A.H., Lohle P.N.M. et al. Percutaneous vertebroplasty and pulmonary cement embolism: results from VERTOS II. AJNR Am J Neuroradiol 2010;31(8): 1451–3. DOI: 10.3174/ajnr.A2127.Venmans A., Klazen C.A.H., Lohle P.N.M. et al. Percutaneous vertebroplasty and pulmonary cement embolism: results from VERTOS II. AJNR Am J Neuroradiol 2010;31(8): 1451–3. DOI: 10.3174/ajnr.A2127.Chung S.-E., Lee S.-H., Kim T.-H. Renal cement embolism during percutaneous vertebroplasty. Eur Spine J 2006;15(Suppl 5):590–4. DOI: 10.1007/s00586-005-0037-0.Chung S.-E., Lee S.-H., Kim T.-H. Renal cement embolism during percutaneous vertebroplasty. Eur Spine J 2006;15(Suppl 5):590–4. DOI: 10.1007/s00586-005-0037-0.Cianciulli T.F., Mc Loughlin D.E., Morita L.A. et al. Bone cement cardiac and pulmonary embolism. Echocardiography 2017;34(8):1239–41. DOI: 10.1111/echo.13580.Cianciulli T.F., Mc Loughlin D.E., Morita L.A. et al. Bone cement cardiac and pulmonary embolism. Echocardiography 2017;34(8):1239–41. DOI: 10.1111/echo.13580.Cohen J., Lane T. Right intra-atrial and ventricular polymethylmethacrylate embolus after balloon kyphoplasty. Am J Med 2010;123(10):5–6. DOI: 10.1016/j.amjmed.2010.01.037.Cohen J., Lane T. Right intra-atrial and ventricular polymethylmethacrylate embolus after balloon kyphoplasty. Am J Med 2010;123(10):5–6. DOI: 10.1016/j.amjmed.2010.01.037.Hatzantonis C., Czyz M., Pyzik R. et al. Intracardiac bone cement embolism as a complication of vertebroplasty: management strategy. Eur Spine J 2017;26(12):3199–205. DOI: 10.1007/s00586-016-4695-x.Hatzantonis C., Czyz M., Pyzik R. et al. Intracardiac bone cement embolism as a complication of vertebroplasty: management strategy. Eur Spine J 2017;26(12):3199–205. DOI: 10.1007/s00586-016-4695-x.Hassani S.F., Cormier E., Shotar E. et al. Intracardiac cement embolism during percutaneous vertebroplasty: incidence, risk factors and clinical management. Eur Radiol 2019;29(2):663–73. DOI: 10.1007/s00330-018-5647-0.Hassani S.F., Cormier E., Shotar E. et al. Intracardiac cement embolism during percutaneous vertebroplasty: incidence, risk factors and clinical management. Eur Radiol 2019;29(2):663–73. DOI: 10.1007/s00330-018-5647-0.Dash A., Brinster D.R. Open heart surgery for removal of polymethylmethacrylate after percutaneous vertebroplasty. Ann Thorac Surg 2011;91(1):276–8. DOI: 10.1016/j.athoracsur.2010.06.106.Dash A., Brinster D.R. Open heart surgery for removal of polymethylmethacrylate after percutaneous vertebroplasty. Ann Thorac Surg 2011;91(1):276–8. DOI: 10.1016/j.athoracsur.2010.06.106.D’Errico S., Niballi S., Bonuccelli D. Fatal cardiac perforation and pulmonary embolism of leaked cement after percutaneous vertebroplasty. J Forensic Leg Med 2019;63:48–51. DOI: 10.1016/j.jflm.2019.03.004.D’Errico S., Niballi S., Bonuccelli D. Fatal cardiac perforation and pulmonary embolism of leaked cement after percutaneous vertebroplasty. J Forensic Leg Med 2019;63:48–51. DOI: 10.1016/j.jflm.2019.03.004.Bouchez S., Mauermann E., Philipsen T., Wouters P. 3D echocardiographic diagnosis of right ventricular perforation with polymethylmethacrylate particles after vertebroplasty. J Cardiothorac Vasc Anesth 2017;31(6):2123–6. DOI: 10.1053/j.jvca.2017.02.053.Bouchez S., Mauermann E., Philipsen T., Wouters P. 3D echocardiographic diagnosis of right ventricular perforation with polymethylmethacrylate particles after vertebroplasty. J Cardiothorac Vasc Anesth 2017;31(6):2123–6. DOI: 10.1053/j.jvca.2017.02.053.Monticelli F., Meyer H.J., Tutsch-Bauer E. Fatal pulmonary cement embolism following percutaneous vertebroplasty. Forensic Sci Int 2005;149(1):35–8. DOI: 10.1016/j.forsciint.2004.06.010.Monticelli F., Meyer H.J., Tutsch-Bauer E. Fatal pulmonary cement embolism following percutaneous vertebroplasty. Forensic Sci Int 2005;149(1):35–8. DOI: 10.1016/j.forsciint.2004.06.010.Son K.H., Chung J.H., Sun K. et al. Cardiac perforation and tricuspid regurgitation as a complication of percutaneous vertebroplasty. Eur J Cardiothorac Surg 2008;33(3):508–9. DOI: 10.1016/j.ejcts.2007.11.027.Son K.H., Chung J.H., Sun K. et al. Cardiac perforation and tricuspid regurgitation as a complication of percutaneous vertebroplasty. Eur J Cardiothorac Surg 2008;33(3):508–9. DOI: 10.1016/j.ejcts.2007.11.027.Kao F.-C., Tu Y.-K., Lai Po-L. et al. Inferior vena cava syndrome following percutaneous vertebroplasty with polymethylmethacrylate. Spine 2008;33(10):E329–33. DOI: 10.1097/brs.0b013e31816f6a10.Kao F.-C., Tu Y.-K., Lai Po-L. et al. Inferior vena cava syndrome following percutaneous vertebroplasty with polymethylmethacrylate. Spine 2008;33(10):E329–33. DOI: 10.1097/brs.0b013e31816f6a10.Kim S.M., Min S.-K., Jae H.J. et al. Successful thrombolysis, angioplasty, and stenting of delayed thrombosis in the vena cava following percutaneous vertebroplasty with polymethylmethacrylate cement. J Vasc Surg 2012;56(4):1119–23. DOI: 10.1016/j.jvs.2012.02.039.Kim S.M., Min S.-K., Jae H.J. et al. Successful thrombolysis, angioplasty, and stenting of delayed thrombosis in the vena cava following percutaneous vertebroplasty with polymethylmethacrylate cement. J Vasc Surg 2012;56(4):1119–23. DOI: 10.1016/j.jvs.2012.02.039.Li Z., Ni R., Zhao X. et al. Cement embolus trapped in the inferior vena cava filter during percutaneous vertebroplasty. Korean J Radiol 2013;14(3):451–4. DOI: 10.3348/kjr.2013.14.3.451.Li Z., Ni R., Zhao X. et al. Cement embolus trapped in the inferior vena cava filter during percutaneous vertebroplasty. Korean J Radiol 2013;14(3):451–4. DOI: 10.3348/kjr.2013.14.3.451.

The authors declare that there are no conflicts of interest present.