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.