{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T09:58:12Z","timestamp":1782899892866,"version":"3.54.5"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pneumologie"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Anamnese und klinischer Befund\u2002Notfallm\u00e4\u00dfige Vorstellung eines 66-j\u00e4hrigen Mannes in der interdisziplin\u00e4ren Notaufnahme aufgrund rechtsseitiger und z.\u200aT. atemabh\u00e4ngiger Thoraxschmerzen. Die Beschwerden bestanden seit mehreren Tagen und hatten einen progredienten Charakter. Purulenter Auswurf und Fieber wurden verneint. Anamnestisch war eine COPD mit gelegentlichen pulmonalen Exazerbationen bekannt. Mehrere Wochen vor dem aktuellen Ereignis war eine ambulant erworbene Pneumonie antibiotisch therapiert worden. Zudem berichtete der Patient \u00fcber mehrere operative Eingriffe im Bereich der Wirbels\u00e4ule in den letzten Monaten.<\/jats:p><jats:p>\nUntersuchungen und Diagnose\u2002In der transthorakalen Echokardiografie (TTE) Nachweis eines Fremdk\u00f6rpers (Palacos) im rechten Ventrikel, welcher sich in der erg\u00e4nzenden CT-Untersuchung des Thorax und der trans\u00f6sophagealen Echokardiografie (TEE) als eine Zahnstocher-\u00e4hnliche Struktur best\u00e4tigte.<\/jats:p><jats:p>\n          Therapie und Verlauf\u2002Extraktion des Fremdk\u00f6rpers mittels rechtsanteriorer Mini-Thorakotomie. In der Folge Ausbildung eines iatrogenen Pneumothorax mit beidseitiger nosokomialer Pneumonie und Drainagenversorgung. Nach kurzfristiger Rekonvaleszenz erneute Wiedervorstellung mit beidseitigen pulmonalen Infiltraten. Unter invasiver Beatmung erneute Diagnose eines linksseitigen Pneumothorax, welcher mit einer B\u00fclau-Drainage versorgt wurde. Aufgrund des Nachweises von positiven Blutkulturen erneute Durchf\u00fchrung einer TEE-Untersuchung. Erstdiagnose einer Trikuspidalklappenendokarditis. Trotz eines erfolgreichen operativen biologischen Trikuspidalklappenersatzes mit Anlage einer epikardialen Schrittmacherelektrode verstarb der Patient ungef\u00e4hr ein \u00be\u00a0Jahr, nachdem er wegen einer Dyspnoe-Symptomatik notfallm\u00e4\u00dfig vorstellig wurde.<\/jats:p><jats:p>\n          Diskussion\u2002Dieser Fall zeigt, dass eine typische klinische Symptomatik, die mit einer vorbekannten chronischen Erkrankung assoziiert ist, immer wieder an andere und seltenere Erkrankungen denken lassen muss. Auch allt\u00e4gliche diagnostische und therapeutische Verfahren sind mit einem Restrisiko m\u00f6glicher Komplikationen behaftet.<\/jats:p>","DOI":"10.1055\/a-1148-8733","type":"journal-article","created":{"date-parts":[[2020,10,15]],"date-time":"2020-10-15T23:57:44Z","timestamp":1602806264000},"page":"665-669","source":"Crossref","is-referenced-by-count":1,"title":["Dyspnoe aufgrund eines Fremdk\u00f6rper-Embolisats nach perkutaner Vertebroplastie"],"prefix":"10.1055","volume":"74","author":[{"given":"M.","family":"Bauer","sequence":"additional","affiliation":[{"name":"Medizinische Klinik II, St. Vincenz-Krankenhaus Datteln, Datteln, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"U.","family":"Kr\u00f6ger","sequence":"additional","affiliation":[{"name":"Medizinische Klinik II, St. Vincenz-Krankenhaus Datteln, Datteln, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Lenga","sequence":"additional","affiliation":[{"name":"Medizinische Klinik II, St. Vincenz-Krankenhaus Datteln, Datteln, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,10,15]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"826","DOI":"10.12659\/MSM.889479","article-title":"Current status of percutaneous vertebroplasty and percutaneous kyphoplasty \u2013 a review","volume":"19","author":"Y Yimin","year":"2013","journal-title":"Med Sci Monit"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1016\/j.ejcts.2007.11.027","article-title":"Cardiac perforation and tricuspid regurgitation as a complication of percutaneous vertebroplasty","volume":"33","author":"K H Son","year":"2008","journal-title":"Eur J Cardiothorac Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"e10","DOI":"10.1148\/rg.e10","article-title":"Percutaneous vertebroplasty: indications, technique, and results","volume":"23","author":"A Gangi","year":"2003","journal-title":"Radiographics"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1093\/ejechocard\/jep030","article-title":"Echocardiographic accidental finding of\u00a0asymptomatic cardiac and pulmonary embolism caused by cement leakage after percutaneous vertebroplasty","volume":"10","author":"C Cadeddu","year":"2009","journal-title":"Eur Hear J Cardiovasc Imaging"},{"key":"ref5","first-page":"e98","article-title":"Images in cardiovascular medicine. 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