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Inferior vena cava filter limb embolization to the right ventricle: a case report.
Abbey Knox1, Damian Gimpel1, Rajinder Singh Harjit Singh2
1Department of Cardiothoracic Surgery, Flinders Medical Centre, Flinders Drive, Bedford Park, SA 5042, Australia.
European Heart Journal. Case Reports
|October 5, 2022
Summary
Inferior vena cava (IVC) filters can fracture and embolize, posing risks even when asymptomatic. Management requires careful consideration due to potential complications and operative risks.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Cardiology
Background:
- Inferior vena cava (IVC) filters prevent pulmonary embolism (PE) in high-risk patients with anticoagulation contraindications.
- Long-term complications include rare but serious filter fracture and embolization.
Observation:
- A 53-year-old female presented with an 8-year-old IVC filter.
- Imaging revealed fractured filter limbs migrated to the heart and major abdominal veins.
- The patient was asymptomatic with preserved organ function.
Findings:
- Despite fracture and embolization, the patient remained asymptomatic.
- Retrieval was deemed high-risk, and the fragments were left in situ.
- No cardiac, liver, or renal dysfunction was noted.
Implications:
- Management of intracardiac IVC filter embolization lacks consensus.
- Endovascular or surgical retrieval depends on fragment location.
- Multidisciplinary follow-up is crucial for managing IVC filter complications.
Keywords:
Case reportChronic thromboembolic pulmonary hypertensionInferior vena cava filterIntracardiac embolizationPulmonary embolismMore Related Videos
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