Walter Chunhong Huang1, Pang Lee1, Theodore Gar Ling Wong1, Jerry Keng Tiong Tan2, Nian Chih Hwang2
1 Department of Anaesthesiology, Singapore General Hospital, Singapore
2 Department of Anaesthesiology, Singapore General Hospital; Department of Cardiothoracic Anaesthesia, National Heart Centre, Singapore
Once regarded as a rare complication, the potentially fatal bone cement implantation syndrome (BCIS) has been increasingly reported. BCIS can present as transient desaturation, hypotension, cardiac dysrhythmias, and cardiovascular collapse. Diagnosis of BCIS is often clinical and confirmed with computed tomography (CT) imaging postoperatively. However, point of care ultrasound (POCUS) examination could be a helpful and timely tool to clinch the diagnosis in a sudden cardiovascular collapse. We present a case of Grade 3 BCIS where POCUS examination revealed a massive clot in the right atrium, which supports the diagnosis.
Nian Chih Hwang
Department of Anaesthesiology, Singapore General Hospital, 1 Hospital Drive, Outram Road, Singapore - 169608
Source of Support: None, Conflict of Interest: None
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