Doctors remove four inches piece of cement from heart: NEJM case report
A 4-inch piece of cement was removed from heart of a man by doctors, which had leaked into his body from a spinal surgery. Dr Gabe Weininger, and Dr John A. Elefteriades, at Yale University School of Medicine, New Haven, CT have reported the instant case of Intracardiac Cement embolism.
Patients that are commonly asymptomatic can be treated conservatively in which management of choice is anticoagulation with low-molecular-weight heparin or warfarin until the foreign body epithelialises and ceases in becoming potentially thrombogenic. In symptomatic patients management with thrombi in the right atrium is usually via percutaneous retrieval, whilst those with RV involvement or perforation are commonly managed with surgical retrieval. Management of individual patients should be based on individual clinical circumstances.
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N Engl J Med 2021; 385:e49