All that Clots Is Not Blood: Bone Cement Implantation Syndrome Presenting as an Intracardiac Mass and Pulmonary Embolism

Abstract

Bone cement implantation syndrome (BCIS) is a rare and potentially fatal perioperative complication of cemented orthopaedic surgery. A computed tomography pulmonary angiogram and echocardiogram images were acquired from an 88-year-old patient who had a perioperative collapse while undergoing a revision operation for a peri-implant fracture of the right femoral neck. Findings were suggestive of an intracardiac clot connected to a saddle pulmonary artery embolus. The patient also developed disseminated intravascular coagulation. Overall findings were suggestive of BCIS.

Keywords

thrombosis - surgery - disseminated intravascular coagulation

Author Contributions

All authors have accepted responsibility for the entire content of this manuscript and approved its submission. M. A. Cheong and K. M. Chew wrote the manuscript.

Publication History

Received: 30 November 2021

Accepted: 10 January 2022

Accepted Manuscript online:
12 January 2022

Article published online:
07 March 2022

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