Cardiac Perforation by Migrated Fractured Strut of Inferior Vena Cava Filter Mimicking Acute Coronary Syndrome
| Autor: | Jacob DeLaRosa, Julio C. Vasquez, Chris W. Piercecchi, John D. Puskas, Stephen J. Kaplan, Jordan R H Hoffman |
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| Rok vydání: | 2015 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Acute coronary syndrome Heart Injury Vena Cava Filters Heart Ventricles Inferior vena cava filter 030204 cardiovascular system & hematology Chest pain Asymptomatic 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine medicine.artery Cardiac Perforation Medicine Humans Acute Coronary Syndrome business.industry Middle Aged medicine.disease Surgery medicine.anatomical_structure Ventricle Right coronary artery cardiovascular system Spontaneous Perforation Female Radiology medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Heart, lungcirculation. 26(2) |
| ISSN: | 1444-2892 |
| Popis: | We present a rare late complication after inferior vena cava filter (IVC) placement. A 52-year-old woman with an IVC presented with sudden onset of chest pain. Cardiac catheterisation and echocardiography revealed an embolised IVC filter strut penetrating the right ventricle. Endovascular retrieval was considered but deemed unsafe due to proximity to the right coronary artery and concern for migration to pulmonary circulation. Urgent removal of the strut was performed via sternotomy. The postoperative course was uneventful. Two weeks later, she was asymptomatic. Minimally invasive approaches have been described for retrieval of intact IVC filters that have migrated to the right heart but not for embolised filter fragments. We recommend traditional sternotomy as the preferred method of retrieval as it limits the likelihood of further migration or trauma. |
| Databáze: | OpenAIRE |
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