Inferior Vena Cava Filter Migrated to Left Ventricle

Authors

  • Yuhai Zhang, MD Department of Cardiothoracic Surgery, Baotou Clinical Medical College affiliated to Inner Mongolia Medical University, Baotou, Inner Mongolia, China
  • Ming Shen, MD Department of Heart Center, The First Hospital of Hebei Medical University, Shijiazhuang, Heibei, China
  • Weimin Huang, MD Department of Cardiothoracic Surgery, Baotou Clinical Medical College affiliated to Inner Mongolia Medical University, Baotou, Inner Mongolia, China
  • Liang Wang, MD Department of Cardiothoracic Surgery, Baotou Clinical Medical College affiliated to Inner Mongolia Medical University, Baotou, Inner Mongolia, China
  • Shixiong Wei, MD Department of Cardiovascular Surgery, Chinese PLA General Hospital, Beijing, China

DOI:

https://doi.org/10.1532/hsf.3853

Keywords:

Inferior vena caval filter, Mitral valve, Pericardial tamponade

Abstract

Inferior vena cava (IVC) filters have been widely used to prevent pulmonary emboli in patients with venous thromboembolism. Here we report a rare case of complete pericardial tamponade with severe mitral and tricuspid valve regurgitation due to a fractured IVC filter. A 38-year-old male came to our emergency department with a 19-day history of progressive chest tightness. Chest x-ray revealed a tethering catheter fractured at the level of the junction of the superior vena cava and the right atrium. We performed open surgery and discovered that a steel wire had punctured the atrioventricular septum, the mitral valve, and finally the posterior wall of the left ventricle. The patient recovered quite well and was discharged after 1 week.

Author Biography

Shixiong Wei, MD, Department of Cardiovascular Surgery, Chinese PLA General Hospital, Beijing, China

Department of Cardiothoracic Surgery, Chinese PLA General Hospital, Beijing, China

References

Baik P, Fourzali R, Salsamendi J, et al. Transventricular migration of an inferior vena cava filter limb. Ann Thorac Surg 2014;97:343.

Morales JP, Li X, Irony TZ, et al. Decision analysis of retrievable inferior vena cava filters in patients without pulmonary embolism. J Vasc Surg Venous Lymphat Disord 2013;1:376-384.

Ollila T, Naeem S, Poppas A, et al. Embolization of inferior vena cava filter tyne and right ventricular perforation: A cardiac missile. Ann Thorac Surg 2016;102:e515-e516.

Shennib H, Bowles B, Hickle K. Migration of a fractured inferior vena cava filter strut to the right ventricle of the heart: A case report. J Cardiothorac Surg 2014;9:183.

Published

2021-06-25

How to Cite

Zhang, Y., Shen, M., Huang, W., Wang, L., & Wei, S. (2021). Inferior Vena Cava Filter Migrated to Left Ventricle. The Heart Surgery Forum, 24(3), E587-E588. https://doi.org/10.1532/hsf.3853

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Section

Articles