<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-5633</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cardiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Colomb. Cardiol.]]></abbrev-journal-title>
<issn>0120-5633</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Colombiana de Cardiologia. Oficina de Publicaciones]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-56332018000500341</article-id>
<article-id pub-id-type="doi">10.1016/j.rccar.2017.08.015</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Embolia pulmonar por metilmetacrilato]]></article-title>
<article-title xml:lang="en"><![CDATA[Pulmonary embolism due to methyl acrylate]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas Rodríguez]]></surname>
<given-names><![CDATA[Ledmar Jovanny]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Agudelo Sanabria]]></surname>
<given-names><![CDATA[Milena Brigitte]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rozo Ortiz]]></surname>
<given-names><![CDATA[Edward Jassir]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital San Rafael - Universidad de Boyacá  ]]></institution>
<addr-line><![CDATA[Tunja ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital San Rafael Medicina Interna ]]></institution>
<addr-line><![CDATA[Tunja ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2018</year>
</pub-date>
<volume>25</volume>
<numero>5</numero>
<fpage>341</fpage>
<lpage>341</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-56332018000500341&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-56332018000500341&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-56332018000500341&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La vertebroplastia es un procedimiento terapéutico que se usa para reparar lesiones vertebrales. Por su parte, el metilmetacrilato, es un cemento óseo que se inyecta en el hueso esponjoso del cuerpo vertebral durante dicho procedimiento. Se expone el caso de una paciente de sexo femenino de 59 años, con antecedente de artrodesis lumbar, quien consultó por lumbalgia tipo punzada, posterior a caída desde su propia altura. Al examen físico se refirió dolor en región torácica sin signos clínicos de radiculopatía e imposibilidad para la movilización. Los estudios imagenológicos reportaron fractura por acuñamiento de cuerpos vertebrales T12-L1. Se hizo cambio de material de artrodesis que requirió uso adicional de metilmetacrilato para fijación de tornillos canulados. Dos horas posteriores al procedimiento quirúrgico refirió dolor torácico, disnea y taquipnea por lo cual se solicitaron estudios adicionales. Por hallazgos en la radiografía de tórax, se sospechó embolia pulmonar secundaria a metilmetacrilato y por tanto se solicitó tomografía computarizada de tórax. Fue trasladada a la unidad de cuidados intensivos; luego de 72 horas de estancia allí, se hizo ecocardiograma que mostró cavidades derechas dilatadas, hipoquinesia del ventrículo derecho con deterioro de la sístole, insuficiencia tricúspide e hipertensión pulmonar moderada. Se indicó tromboprofilaxis por tres meses y seguimiento por servicios de Medicina interna y Neurocirugía.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Vertebroplasty is a therapeutic procedure that is used to repair spinal lesions. For its part, methyl acrylate is a bone cement that is injected into the spongy bone of the vertebral body during this procedure. The case is presented of a 59 year-old woman with a history of a lumbar arthrodesis, who consulted due stabbing-type lower back pain, after a fall from her own height. On physical examination, she had pain in the thoracic region with no clinical signs of radiculopathy, and impossibility for movement. The imaging studies reported a fracture due to wedging of vertebral bodies T12-L1. A change was made in the arthrodesis material, which required the additional use of methyl acrylate to fix the cannulated screws. Two hours after the surgical procedure, she referred to chest pain, dyspnoea and tachypnoea, for which further studies were requested. Due to the findings in the chest x-ray, a pulmonary embolism induced by methyl acrylate was suspected, for which a computed tomography scan of the chest was requested. She was transferred to the Intensive Care Unit. After 72 hours of admission there, an echocardiogram was performed that showed dilated right cavities, hypokinesis of the right ventricle with systolic dysfunction, tricuspid insufficiency, and moderate pulmonary hypertension. Thromboprophylaxis was prescribed for three months and follow-up by the Internal Medicine and Neurosurgery departments.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Metilmetacrilato]]></kwd>
<kwd lng="es"><![CDATA[Embolia pulmonar]]></kwd>
<kwd lng="es"><![CDATA[Vertebroplastia]]></kwd>
<kwd lng="es"><![CDATA[Hipertensión pulmonar]]></kwd>
<kwd lng="en"><![CDATA[Methyl methacrylate]]></kwd>
<kwd lng="en"><![CDATA[Pulmonary embolism]]></kwd>
<kwd lng="en"><![CDATA[Vertebroplasty]]></kwd>
<kwd lng="en"><![CDATA[Pulmonary hypertension]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kairuz]]></surname>
<given-names><![CDATA[IV]]></given-names>
</name>
<name>
<surname><![CDATA[Stancich]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Embolia pulmonar por metacrilato después de vertebroplastia percutánea en una paciente con osteomalacia]]></article-title>
<source><![CDATA[Rev Arg Reumatol]]></source>
<year>2015</year>
<volume>26</volume>
<page-range>39-43</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rendón]]></surname>
<given-names><![CDATA[LC]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Calvo]]></surname>
<given-names><![CDATA[BE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Vertebroplastia en procesos destructivos vertebrales]]></article-title>
<source><![CDATA[Rev Esp Méd Quir]]></source>
<year>2013</year>
<volume>18</volume>
<page-range>206-11</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barbero]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Casorzo]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Durando]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Percutaneous vertebroplasty the follow-up]]></article-title>
<source><![CDATA[Radiol Med]]></source>
<year>2008</year>
<volume>113</volume>
<page-range>101-13</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Figueredo]]></surname>
<given-names><![CDATA[EA]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[ML]]></given-names>
</name>
<name>
<surname><![CDATA[Reyes]]></surname>
<given-names><![CDATA[FA]]></given-names>
</name>
<name>
<surname><![CDATA[Acosta]]></surname>
<given-names><![CDATA[YB]]></given-names>
</name>
<name>
<surname><![CDATA[Garce]]></surname>
<given-names><![CDATA[YP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nuevas consideraciones en el tratamiento del tromboembolismo pulmonar]]></article-title>
<source><![CDATA[Rev cubana med]]></source>
<year>2016</year>
<volume>55</volume>
<page-range>17-25</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sandoval]]></surname>
<given-names><![CDATA[BJ]]></given-names>
</name>
<name>
<surname><![CDATA[Florenzano]]></surname>
<given-names><![CDATA[VM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diagnóstico y tratamiento del tromboembolismo pulmonar]]></article-title>
<source><![CDATA[Rev Med Clin Condes]]></source>
<year>2015</year>
<volume>26</volume>
<page-range>338-43</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Radcliff]]></surname>
<given-names><![CDATA[KE]]></given-names>
</name>
<name>
<surname><![CDATA[Reitman]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Delasotta]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Hong]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[DiIorio]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Zaslavsky]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pulmonary cement embolization after kyphoplasty a case report and review of the literature]]></article-title>
<source><![CDATA[J N Amer Spin]]></source>
<year>2010</year>
<volume>10</volume>
<page-range>1-5</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tobinick]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El sistema venoso cerebroespinal Anatomía, fisiología e implicaciones clínicas]]></article-title>
<source><![CDATA[Arch Med]]></source>
<year>2010</year>
<volume>1</volume>
<page-range>33-49</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Batson]]></surname>
<given-names><![CDATA[OV]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The function of the vertebral veins and their role in the spread of metastases]]></article-title>
<source><![CDATA[Ann Surg]]></source>
<year>1940</year>
<volume>112</volume>
<page-range>138-49</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Herlihy]]></surname>
<given-names><![CDATA[WF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Revision of the venous system the role of the vertebral veins]]></article-title>
<source><![CDATA[Med J Aust]]></source>
<year>1947</year>
<volume>1</volume>
<page-range>661-72</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kuo]]></surname>
<given-names><![CDATA[TH]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[KS]]></given-names>
</name>
<name>
<surname><![CDATA[Lieu]]></surname>
<given-names><![CDATA[AS]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[KS]]></given-names>
</name>
<name>
<surname><![CDATA[Lin]]></surname>
<given-names><![CDATA[CL]]></given-names>
</name>
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[GC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Massive intracerebral air embolism associated with meningitis and lumbar spondylitis case report]]></article-title>
<source><![CDATA[Surg Neurol]]></source>
<year>2004</year>
<volume>62</volume>
<page-range>362-5</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Groen]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
<name>
<surname><![CDATA[du Toit]]></surname>
<given-names><![CDATA[DF]]></given-names>
</name>
<name>
<surname><![CDATA[Phillips]]></surname>
<given-names><![CDATA[FM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Anatomical and pathological considerations in percutaneous vertebroplasty and kyphoplasty a reappraisal of the vertebral venous system]]></article-title>
<source><![CDATA[Rev Spine]]></source>
<year>2004</year>
<volume>29</volume>
<page-range>1465-71</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Harrington]]></surname>
<given-names><![CDATA[KD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Major neurological complications following percutaneous vertebroplasty with polymethylmethacrylate a case report]]></article-title>
<source><![CDATA[J Bone Joint Surg Am]]></source>
<year>2001</year>
<volume>83</volume>
<page-range>1070-3</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Habib]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Maniatis]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Ahmed]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Kilkenny]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Alkaied]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Elsayegh]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cement pulmonary embolism after percutaneous vertebroplasty and kyphoplasty Anoverview]]></article-title>
<source><![CDATA[Rev Heart Lung]]></source>
<year>2012</year>
<volume>41</volume>
<page-range>509-11</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Krueger]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Bliemel]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Zettl]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Ruchholtz]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Management of pulmonary cement embolism after percutaneous vertebroplasty and kyphoplasty a systematic review of the literature]]></article-title>
<source><![CDATA[J Eur Spine]]></source>
<year>2009</year>
<volume>18</volume>
<page-range>1257-65</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lim]]></surname>
<given-names><![CDATA[SH]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[HK]]></given-names>
</name>
<name>
<surname><![CDATA[Baek]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Multiple cardiac perforations and pulmonary embolism caused by cement leakage after percutaneous vertebroplasty]]></article-title>
<source><![CDATA[Eur J Cardiothorac Surg]]></source>
<year>2008</year>
<volume>33</volume>
<page-range>510-2</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
