A 52-year-old woman presented with malignant ventricular
arrthythmogenesis intraoperatively during kyphoplasty for an
osteoporotic fracture of a lumbar vertebra. No previous cardiovascular
condition was known. Causes of arrhythmogenesis associated with the
procedure were excluded. Due to her positive family history for dilated
cardiomyopathy, upcoming thoughts were made for unmasking a previous
asymptomatic cardiomyopathy. Nevertheless, an intracardiac cement
embolism was diagnosed and, finally, the patient underwent an open heart
surgery with successful removal of the cardiac cement while no new
arrhythmogenic episode was recorded during follow up.