{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T10:37:35Z","timestamp":1768041455027,"version":"3.49.0"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2021,8,25]],"date-time":"2021-08-25T00:00:00Z","timestamp":1629849600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The incidence of recognized cardiopulmonary cement embolism in the context of percutaneous vertebroplasty varies between 0% and 23%. In most cases, only small fragments embolize in the pulmonary arteries or the right heart cavities. The latter can cause potential harm by right ventricular perforation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 57-year-old patient was admitted to our department of cardiology due to exertional dyspnoea and chest pain. In the course of further diagnostic tests, a huge cement embolus was accidentally discovered in the right ventricle. The unusual size and length and the threat of ventricular perforation make this case so unique.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Large cement embolisms in kyphoplasty settings are possible and associated with the risk of fulminant complications.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytab336","type":"journal-article","created":{"date-parts":[[2021,8,25]],"date-time":"2021-08-25T14:00:46Z","timestamp":1629900046000},"source":"Crossref","is-referenced-by-count":5,"title":["A spear to the heart\u2014the accidental discovery of a giant cement embolism in the right heart: a case report"],"prefix":"10.1093","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7506-9668","authenticated-orcid":false,"given":"Moritz","family":"Lambers","sequence":"first","affiliation":[{"name":"Department of Cardiology and Angiology, Contilia Heart and Vascular Center, Elisabeth-Krankenhaus Essen, Klara-Kopp-Weg 1, 45138 Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2531-5503","authenticated-orcid":false,"given":"Oliver","family":"Bruder","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology, Contilia Heart and Vascular Center, Elisabeth-Krankenhaus Essen, Klara-Kopp-Weg 1, 45138 Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6709-0982","authenticated-orcid":false,"given":"Heinrich","family":"Wieneke","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology, Contilia Heart and Vascular Center, Elisabeth-Krankenhaus Essen, Klara-Kopp-Weg 1, 45138 Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4005-3196","authenticated-orcid":false,"given":"Kai","family":"Nassenstein","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,8,25]]},"reference":[{"key":"2021120107441031700_ytab336-B1","first-page":"570","article-title":"Osteoblastic and mixed spinal metastases: evaluation of the analgesic efficacy of percutaneous vertebroplasty","volume":"28","author":"Calmels","year":"2007","journal-title":"Am J Neuroradiol"},{"key":"2021120107441031700_ytab336-B2","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.2214\/ajr.183.4.1831097","article-title":"Pulmonary embolism of polymethyl methacrylate during percutaneous vertebroplasty and kyphoplasty","volume":"183","author":"Choe","year":"2004","journal-title":"Am J Roentgenol"},{"key":"2021120107441031700_ytab336-B3","doi-asserted-by":"crossref","first-page":"e19354","DOI":"10.1097\/MD.0000000000019354","article-title":"Removal of intracardiac bone cement embolism after percutaneous kyphoplasty: a case report","volume":"99","author":"Song","year":"2020","journal-title":"Medicine (Baltimore)"},{"key":"2021120107441031700_ytab336-B4","doi-asserted-by":"crossref","first-page":"E332","DOI":"10.1097\/BRS.0000000000000134","article-title":"Cement leakage in percutaneous vertebroplasty for spinal metastases: a retrospective evaluation of incidence and risk factors","volume":"39","author":"Corcos","year":"2014","journal-title":"Spine (Phila PA 1976)"},{"key":"2021120107441031700_ytab336-B5","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":"Yimin","year":"2013","journal-title":"Med Sci Monit"},{"key":"2021120107441031700_ytab336-B6","doi-asserted-by":"crossref","first-page":"1451","DOI":"10.3174\/ajnr.A2127","article-title":"Percutaneous vertebroplasty and pulmonary cement embolism: results from VERTOS II","volume":"31","author":"Venmans","year":"2010","journal-title":"Am J Neuroradiol"},{"key":"2021120107441031700_ytab336-B7","first-page":"532","article-title":"Healing a heart of stone: percutaneous extraction of cardiopulmonary cement embolism","volume":"13","author":"Shamekhi","year":"2020","journal-title":"JACC: Cardiovasc Intervent"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytab336\/39904627\/ytab336.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/5\/11\/ytab336\/41361726\/ytab336.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/5\/11\/ytab336\/41361726\/ytab336.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T11:49:20Z","timestamp":1638359360000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytab336\/6357703"}},"subtitle":[],"editor":[{"given":"Michel Pompeu","family":"S\u00e1","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Andras","family":"Janosi","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Marcelo Haertel","family":"Miglioranza","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Stefan","family":"Simovic","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Fanienne","family":"Vervaat","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2021,8,25]]},"references-count":7,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2021,11,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytab336","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,11,1]]},"published":{"date-parts":[[2021,8,25]]},"article-number":"ytab336"}}