Korean J Thorac Cardiovasc Surg.  2017 Jun;50(3):224-227. 10.5090/kjtcs.2017.50.3.224.

Extravascular Migration of a Fractured Inferior Vena Cava Filter Strut

Affiliations
  • 1Department of Cardiothoracic Surgery, Hanllym University Sacred Heart Hospital, Hanllym University College of Medicine, Korea. lwy1206@hallym.or.kr
  • 2Department of Cardiothoracic Surgery, Chosun University Hospital, Chosun University College of Medicine, Korea.

Abstract

A 20-year-old man presented with a femur fracture and epidural hemorrhage (EDH) following a fall. One month after fracture surgery, swelling developed in both legs, and he was diagnosed as having a deep-vein thrombosis and pulmonary embolism. A retrievable inferior vena cava filter (IVCF) was inserted, because EDH is a contraindication to anticoagulants. Four months later, he complained of abdominal pain, and a computed tomography scan showed a fractured IVCF strut. After percutaneous removal failed 3 times, the IVCF was surgically removed by orthopedists using a portable image intensifier without cardiopulmonary bypass.

Keyword

Vena cava filters; Migration; Fracture

MeSH Terms

Abdominal Pain
Anticoagulants
Cardiopulmonary Bypass
Femur
Hemorrhage
Humans
Leg
Pulmonary Embolism
Vena Cava Filters*
Vena Cava, Inferior*
Venous Thrombosis
Young Adult
Anticoagulants
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