경피적 척추 성형술 후 polymethylmethacrylate에 의한우심실 관통으로 발생한 급성 심낭염 1예
Acute pericarditis caused by penetrated polymethylmethacrylate of the right ventricle after percutaneous vertebroplasty
1
조회
0
다운로드
4
인용
0
참고문헌
초록
척추성형술은 척추 종양 및 골다공증에 의한 압박 골절 등의 치료에 사용되는 비교적 안전한 시술로 통증의 완화 및 안정성을 확보할 수 있어 최근에 많이 시행되고 있다. 합병증의 빈도는 아주 낮으며, 심한 합병증으로는 주로 저혈압이나, 폐색전증, 뇌전색증 등이 보고 되고 있으나, 급성심낭염이 발생하였던 경우는 없었다. 저자들은 척추성형술 후 급성 심낭염이 발생하였던 환자를 경험하였고, 응급 수술로 성공적으로 치료하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Percutaneous vertebroplasty (PVP) has been known as minimally invasive procedure to treat aggressive vertebral hemangioma, painful osteolytic vertebral tumors, and osteoporotic compression fractures. Some cases were reported to be associated with infrequent but serious complications of this procedure, such as severe arterial hypotension, pulmonary embolism, cerebral embolism, paraplegia, and bronchospasm. We report a case of acute pericarditis after PVP, which was treated successfully with open heart surgery.
참고문헌 (8)
- "Cecil's textbook of medicine", pp.348~349 (2000), Saunders
- "Paraplegia as a complication of percutaneous vertebroplasty with polumehtylmethacrylate: a case report", 27, pp.419~422 (2002)
- "Percutaneous vertebroplasty for pain relief and spinal stabilization", 25, pp.923~928 (2000)
- "Vertebroplasty: clinical experience and follow-up results", 25, pp.11~15 (1999)
- "Pulmonary embolism of polymethylmethacrylate after percutaneous vertbroplasty", 27, pp.416~418 (2002)
- "Cardiovascular effects of polymethylmethacrylate use in percutaneous vertebroplasty", 23, pp.601~604 (2002)
- "Percutaneous vertebroplasty: long-term clinical and radiological outcome", 44, pp.950~954 (2002)
- "Paradoxical cerebral arterial embolization of cement during intraoperative vertebroplasty: case report", 23, pp.868~870 (2002)