Jason N. MacTaggart, MD, Iraklis I. Pipinos, MD, Jason M

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Presentation transcript:

Acrylic cement pulmonary embolus masquerading as an embolized central venous catheter fragment Jason N. MacTaggart, MD, Iraklis I. Pipinos, MD, Jason M. Johanning, MD, Thomas G. Lynch, MD Journal of Vascular Surgery Volume 43, Issue 1, Pages 180-183 (January 2006) DOI: 10.1016/j.jvs.2005.09.002 Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 1 a, Lateral chest radiograph demonstrates polymethylmethacrylate (PMMA) embolus resembling a catheter fragment in the right lung (arrow). b, Anterior-posterior chest radiograph shows PMMA embolus in the right lung (arrow) and PMMA leakage into the paravertebral venous plexus (arrowhead). c, Detailed views of the pulmonary embolus and (d) the paravertebral venous plexus PMMA. Note that the barium granules seen in the PMMA within the paravertebral venous plexus (double black arrows) appear identical to those found within the embolus (double white arrows). Journal of Vascular Surgery 2006 43, 180-183DOI: (10.1016/j.jvs.2005.09.002) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 2 Three-dimensional reconstruction computed tomography scan shows the catheter-like cement embolus in the right interlobar pulmonary artery, with one of its two ends extending into the middle lobe lateral segmental artery and the other end in the lower lobe basal segmental artery. Journal of Vascular Surgery 2006 43, 180-183DOI: (10.1016/j.jvs.2005.09.002) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions