A 59-year-old female presented with worsening shortness of breath and chest pain in the postoperative anesthesia care unit 2 h after vertebroplasty with cementing. Stat chest computed tomography revealed intracardial foreign body and pericardial effusion (panel A). Considering the recent cementing, the foreign body was suspected to be cement. An urgent surgical intervention was prepared. After induction, transesophageal echocardiography showed pericardial effusion and a highly echogenic object floating in the right atrium and right ventricle with one end pointing to the right ventricle free wall (panel B). The chest was opened under cardiopulmonary bypass and transesophageal echocardiography guidance. U-shaped cement with a 5-cm long arm and 4-cm short arm was removed from the right atrium (panel C). The cement was rigid and both ends were sharp. Vertebroplasty with cementing can cause cement embolism, more...

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