Bone cement implantation syndrome (BCIS) is a rare and potentially fatal perioperative
complication of cemented orthopaedic surgery. A computed tomography pulmonary angiogram
and echocardiogram images were acquired from an 88-year-old patient who had a perioperative
collapse while undergoing a revision operation for a peri-implant fracture of the
right femoral neck. Findings were suggestive of an intracardiac clot connected to
a saddle pulmonary artery embolus. The patient also developed disseminated intravascular
coagulation. Overall findings were suggestive of BCIS.
Keywords
thrombosis - surgery - disseminated intravascular coagulation
