BCIS diagnosed by transesophageal echocardiography
Bone cement implantation syndrome (BCIS) is a known complication in patients undergoing cemented orthopedic surgeries; however, the etiology and pathophysiology of BCIS are not fully understood.

Published in the JA Clinical Reports, the authors report the case of a patient who developed pulseless electrical activity (PEA) due to BCIS after cemented femoral head replacement. Transesophageal echocardiography (TEE) during PEA revealed a massive embolus extending from the main pulmonary artery to the inferior vena cava.

Of note, this embolus disappeared completely and rapidly after return of spontaneous circulation. TEE proved to be useful in the diagnosis and management of this case of PEA.

Case highlights:-
- The present case demonstrates that with BCIS, massive emboli can extend from the main pulmonary artery to the inferior vena cava and can disappear completely in a short time.

- Cardiopulmonary collapse or cardiac arrest shortly after cementation is suggestive of BCIS. In this situation, TEE can help with diagnosis and influence management decisions.

Read in detail here: https://jaclinicalreports.springeropen.com/articles/10.1186/s40981-019-0225-2
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