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Hemopericardium and Cardiac Tamponade Secondary to Migrated Inferior Vena Cava Filter

Jeet J Mehta1, Benjamin DeMarco2, John P Vavalle3

  • 1Internal Medicine/Pediatrics, University of Kansas School of Medicine-Wichita, USA.

Case Reports in Cardiology
|December 26, 2018
PubMed

Insights

A fractured inferior vena cava filter leg caused cardiac tamponade and cardiogenic shock. Clinicians should consider hemopericardium in patients with IVC filters presenting with these symptoms.

Area of Science:

  • Cardiology
  • Interventional Radiology

Background:

  • Inferior vena cava (IVC) filters are used to prevent pulmonary embolism.
  • Complications can arise from IVC filter placement, including fracture and migration.

Observation:

  • A 73-year-old female presented with cardiogenic shock.
  • Imaging revealed fractured IVC filter legs, one in the right ventricular myocardium and another penetrating the septum.
  • The patient had hemopericardium and cardiac tamponade.

Findings:

  • Pericardiocentesis successfully treated the hemopericardium and cardiac tamponade.
  • Due to patient factors, no intervention was performed on the fractured filter legs.
  • This case highlights a rare but serious complication of IVC filters.

Implications:

  • Clinicians should maintain a high index of suspicion for hemopericardium and cardiac tamponade in patients with a history of IVC filter placement presenting with cardiogenic shock.
  • This case underscores the importance of considering patient comorbidities and age when deciding on interventions for IVC filter complications.

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