Cardiac Perforation by Migrated Fractured Strut of Inferior Vena Cava Filter Mimicking Acute Coronary Syndrome.
Heart Lung Circ
; 26(2): e11-e13, 2017 Feb.
Article
en En
| MEDLINE
| ID: mdl-27670585
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.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Filtros de Vena Cava
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Síndrome Coronario Agudo
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Perforación Espontánea
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Ventrículos Cardíacos
Tipo de estudio:
Diagnostic_studies
Límite:
Female
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Humans
/
Middle aged
Idioma:
En
Revista:
Heart Lung Circ
Asunto de la revista:
ANGIOLOGIA
/
CARDIOLOGIA
Año:
2017
Tipo del documento:
Article