Skip to content
DraconiticResearch
Search Sources API
210,043 studies31 sourcesUpdated 46 min ago
Peer-reviewedCC BY-NC-SA 4.0Annals of Cardiac Anaesthesia

Catastrophic Bone Cement Implantation Syndrome Identified Real Time with Transesophageal Echocardiography

  • Nicholas Paul Suraci1
  • Tiffany Lim1,2
  • Maisie Jackson1,2
  1. 1Department of Anesthesiology, Michael E. DeBakey VA Medical Center, Houston, Texas, United States
  2. 2Department of Anesthesiology, Baylor College of Medicine, Houston, Texas, United States
Read full textDOICite

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.

Related

  1. Complex cardiac schwannoma surgery: Navigation with perioperative 3-dimensional transesophageal echocardiography
    Jayakumar Thanathu Krishnan Nair, Manjusha N. Pillai, Adinarayanan Kishore Nochur +1
    JTCVS techniquesPeer-reviewedCC BY-NC-NDFull textGeneral medicineEurope PMC
  2. When 2D is not enough: 3D transesophageal echocardiography revealing a multifenestrated atrial septal defect.
    Jaime Andrés Nieto, David Aparicio, Susan Julieth Flórez Rubio
    Journal of cardiovascular imagingPeer-reviewedCC BYFull textCardiovascular medicineEurope PMC
  3. Robotic resection of cardiac papillary fibroelastoma guided by three-dimensional transesophageal echocardiography: a case report.
    Fernando Hideki Sakamoto, Ana Clara Tude Rodrigues, Claudio Henrique Fischer +9
    Einstein (Sao Paulo, Brazil)Peer-reviewedCC BYFull textCardiovascular medicineEurope PMC
  4. Bilateral Lung Consolidation with Static and Dynamic Air Bronchograms on Transesophageal Echocardiography.
    Aibek E Mirrakhimov
    Diagnostics (Basel, Switzerland)Peer-reviewedCC BYFull textGeneral medicineEurope PMC
  5. Nondiagnostic intraoperative transesophageal echocardiography preceding CT-confirmed pulmonary embolism: A case report
    Riya Nair, BS, Faria Nisar, MD, Ryan Kaplevatsky, DO +2
    JCA AdvancesPeer-reviewedCC BYFull textSurgery & anaesthesiaDOAJ

Cite

BibTeXRIS
BibTeX
@article{suraci2026catastrophic,
  title = {{Catastrophic Bone Cement Implantation Syndrome Identified Real Time with Transesophageal Echocardiography}},
  author = {Nicholas Paul Suraci and Tiffany Lim and Maisie Jackson},
  journal = {Annals of Cardiac Anaesthesia},
  year = {2026},
  month = oct,
  doi = {10.4103/aca.aca_357_25},
  url = {https://doi.org/10.4103/aca.aca_357_25},
  note = {CC BY-NC-SA 4.0},
}
RIS
TY  - JOUR
TI  - Catastrophic Bone Cement Implantation Syndrome Identified Real Time with Transesophageal Echocardiography
AU  - Nicholas Paul Suraci
AU  - Tiffany Lim
AU  - Maisie Jackson
PY  - 2026
DA  - 2026/10/12
JO  - Annals of Cardiac Anaesthesia
DO  - 10.4103/aca.aca_357_25
UR  - https://doi.org/10.4103/aca.aca_357_25
AB  - 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.
SN  - 0971-9784
SN  - 0974-5181
ER  -