Catastrophic Bone Cement Implantation Syndrome Identified Real Time with Transesophageal Echocardiography.

Authors

Nicholas Paul Suraci, Tiffany Lim, Maisie Jackson

Published in

Annals of cardiac anaesthesia. Volume 29. Issue 4. Pages 627-629. Oct 01, 2026. Epub Oct 12, 2026.

Abstract

Characterized by unexpected hypoxia, hypotension, or hemodynamic collapse, bone cement implantation syndrome (BCIS) is a rare complication of orthopedic surgeries. During the process of utilizing cement to aid in prosthetic implantation, increased intramedullary pressure can lead to embolization of mixed contents (cement, fat, air,) into the heart. By mechanical obstruction and inflammatory response, BCIS can lead to catastrophic cardiovascular collapse. Herein, we present an 81-year-old man with grade three BCIS with pulseless electrical activity during a left hip arthroplasty with the aid of transesophageal echocardiography.

PMID:
42862683
Bibliographic data and abstract were imported from PubMed on 13 Oct 2026.

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