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Published on: November 4, 2015
Off-Pump Methacrylate Cement Pulmonary Embolectomy
Brooks V Udelsman1, Ellesse Credaroli2, Andrew Notarianni2
1Division of Thoracic Surgery, Department of Surgery, Yale School of Medicine, New Haven, Connecticut.
Abstract:
Methacrylate is polymer used as a bone cement in orthopedic procedures that can rarely embolize, resulting in atrial perforation and pulmonary artery occlusion. Retrieval of emboli typically requires cardiopulmonary bypass and deep hypothermic circulatory arrest. In this report, we describe the off-pump removal of a massive left pulmonary artery methacrylate embolus using surface ultrasound localization, partial cross-clamping of the main pulmonary artery, and snaring of the of the left pulmonary venous return.
Insights
This study presents a novel off-pump technique for removing methacrylate bone cement emboli from the pulmonary artery, avoiding complex surgical procedures and improving patient outcomes in rare orthopedic complications.
Area of Science:
- Cardiovascular Surgery
- Orthopedic Surgery
- Medical Device Technology
Background:
- Methacrylate bone cement is widely used in orthopedic procedures.
- Rarely, methacrylate emboli can cause severe complications like pulmonary artery occlusion.
- Traditional emboli retrieval often necessitates cardiopulmonary bypass and deep hypothermic circulatory arrest.
