Pulmonary embolism by a foreign body that migrated in the inferior vena cava during lumbar spine surgery

Naito, Noritsugu; Abe, Masaru; Fukasawa, Motoji; Takeshi, Akihiko

doi:10.1136/bcr-2014-205423

Cited by 3 publications

(1 citation statement)

References 2 publications

(3 reference statements)

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“…A review of the literature reveals that most of the foreign bodies that migrate to the heart are endovascular devices, such as catheters, guidewires, or pacemakers ( 13 , 14 ). Naito et al reported a case of a piece of rubber catheter that migrated to the inferior vena cava during surgery ( 15 ). Leonardi and Rivera adopted conservative treatment for their broken cerclage wire in the left heart case considering the high risk of surgical left ventriculotomy associated with searching for the wire that had migrated into the myocardial wall ( 13 ).…”

Section: Discussionmentioning

confidence: 99%

Entrapment of a metal foreign body in the heart during surgical procedure: A case report and literature review

Wang

Li²,

Yuan³

et al. 2022

Front. Surg.

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A rongeur had been used to remove thin bones in both orthopedic surgery and neurosurgery, featured with a tip holding and cutting bone effectively while protecting the underlying instruments. The authors describe a case of a 40-year-old man who proceeded with the second lumbar vertebrae osteotomy and presented to be ankylosing spondylitis with kyphosis and limited mobility for 10 years. During the surgery, we found that the rongeur tip was missing. C-arm fluoroscopy showed the high-density body just in front of the vertebral body intraoperatively. However, the CT scan showed the foreign body migrated to the right auricle of the heart postoperatively. This case is unique in that there was no exact vessel injury detected intraoperatively. There were few reports about the surgical instrument migrating to the heart. Our case showed the rare experience of the function of multidisciplinary collaboration in the migration of foreign bodies in the cervical spinal canal.

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Section: Discussionmentioning

confidence: 99%

Entrapment of a metal foreign body in the heart during surgical procedure: A case report and literature review

Wang

Li²,

Yuan³

et al. 2022

Front. Surg.

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Near Misses in the Intraoperative Brain Suite

Roeth

Stoicea

Bergese

2019

Textbook of Neuroanesthesia and Neurocritical Care

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Bullet embolism: a rare cause of acute ischaemia

AlAttab

Wani

Alomar

et al. 2022

Interactive CardioVascular and Thoracic Surgery

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Embolization of a bullet or shrapnel from the heart (left ventricle) to the peripheral arterial circulation is practically unknown. We present a 38-year-old man with no comorbidities who was referred to our centre with a bullet injury to the left side of his chest. The patient complained of mild pain and numbness in his right lower limb. A trauma series was advised. A contrast angiogram of the peripheral lower limbs showed a bullet in the right popliteal artery with no flow in the tibial arteries. A bullet was removed from the distal popliteal artery at its bifurcation with a long thrombus proximal to it. Removal of the foreign body is the widely accepted management, especially when it leads to symptoms like ischaemia or signs of infection, as was the situation in our case.

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Pulmonary embolism by a foreign body that migrated in the inferior vena cava during lumbar spine surgery

Cited by 3 publications

References 2 publications

Entrapment of a metal foreign body in the heart during surgical procedure: A case report and literature review

Entrapment of a metal foreign body in the heart during surgical procedure: A case report and literature review

Near Misses in the Intraoperative Brain Suite

Bullet embolism: a rare cause of acute ischaemia

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