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A 40-year-old woman with breast cancer was referred for treatment of a large pericardial effusion. She had been treated with right mastectomy, chemotherapy, radiotherapy, and tamoxifen but developed bone metastases. Four months earlier the patient underwent percutaneous kyphoplasty of lumbar vertebral bodies, right iliac wing and sternal body while receiving leuprorelin, exemestan, and denosumab. Progressive dyspnoea developed over the last 4 weeks. Physical admission revealed elevated jugular venous pressure and 12-lead electrocardiogram low voltage. …

Cardiac tamponnade, cement right atrial mass, and pulmonary embolism complicating percutaneous plasty of osteolytic metastases