INTRODUCTION
PVP is a minimally invasive surgery to treat osteoporotic vertebral
compression fractures by injecting bone cement into the diseased
vertebral body.1 It can effectively restore the
stability of the vertebral body and quickly relieve pain, but it has
many complications, especially bone cement leakage.2-3Studies have shown that the incidence of bone cement leakage into the
heart is 3.9%,4 which are associated with a higher
risk of death. Timely and accurate detection of pulmonary embolism or
ICE is of great value for early and effective treatment. However,
patients with pulmonary embolism or ICE are often bedridden, it is
difficult to move to receive various imaging tests. Echocardiography is
non-invasive, simple and unique for detecting solid bodies, and can
detect myocardial injury and pericardial effusion caused by intracardiac
foreign bodies. This paper reports a case of bone cement cardiac
embolism and cardiac perforation after PVP which is diagnosed by bedside
echocardiography.