Work

Catastrophic Bone Cement Implantation Syndrome Identified Real Time with Transesophageal Echocardiography

Year: 2026

Type: article

Abstract: ABSTRACT: Characterized by unexpected hypoxia, hypotension, or hemodynamic collapse, bone cement implantation syndrome (BCIS) is a rare complication of orthopedic surgeries. During the process of utilizing cement to aid in prosthetic implantation, increased intramedullary pressure can lead to embolization of mixed contents (cement, fat, air,) into the heart. By mechanical obstruction and inflammatory response, BCIS can lead to catastrophic cardiovascular collapse. Herein, we present an 81-year-old man with grade three BCIS with pulseless electrical activity during a left hip arthroplasty with the aid of transesophageal echocardiography.

Source: Annals of Cardiac Anaesthesia

DOI: 10.4103/aca.aca_357_25

Authors: Nicholas Paul Suraci, Tiffany Lim, Maisie Jackson

Institutions: Michael E. DeBakey VA Medical Center, Baylor College of Medicine

Language: English

Topic: Orthopaedic implants and arthroplasty

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7221575012

FWCI:

Cites: 7

Cited by:

Related to: 10