Mismatched Perfusion Defects Secondary to Recent Methyl Methacrylate Embolization

ABSTRACTMethyl methacrylate (MMA) pulmonary embolism is a serious potential complication of percutaneous vertebroplasty. We present a case of a 28-year-old man who presented to an outside institution with pleuritic chest pain after MMA vertebroplasty of the T11 thoracic vertebra for chronic back ach...

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Bibliographic Details
Published in:Clinical nuclear medicine 2013-01, Vol.38 (1), p.50-52
Main Authors: Agrawal, Garima, Wright, Chadwick L, Rhodes, Nicholas G, Sharma, Akash
Format: Article
Language:English
Subjects:
Adult
Humans
Image Processing, Computer-Assisted
Lung - blood supply
Lung - pathology
Lung - physiopathology
Male
Methylmethacrylate - adverse effects
Perfusion
Pulmonary Embolism - chemically induced
Pulmonary Embolism - diagnostic imaging
Pulmonary Embolism - physiopathology
Tomography, X-Ray Computed
Ventilation
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Summary:ABSTRACTMethyl methacrylate (MMA) pulmonary embolism is a serious potential complication of percutaneous vertebroplasty. We present a case of a 28-year-old man who presented to an outside institution with pleuritic chest pain after MMA vertebroplasty of the T11 thoracic vertebra for chronic back ache secondary to a previous traumatic fracture. Multifocal MMA pulmonary embolism was identified on CT. The patient was referred to our institution following a wedge resection for pulmonary infarction. V/Q scintigraphy was performed and demonstrated normal ventilation with multiple mismatched perfusion defects bilaterally. Patient subsequently underwent central and bilateral segmental pulmonary embolectomies.
ISSN:0363-9762
1536-0229
DOI:10.1097/RLU.0b013e3182708548