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Войти в исследования JACC. Case reports · 2026
Migration of Fragments of Inferior Vena Cava Filter to Heart and Lung.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Alvarado-Rodríguez Kirsten, Alvarado-Sánchez Eduardo, Arroyo-Solís Daniel, Chavarría-Víquez Jorge
Аннотация
BACKGROUND: Inferior vena cava filters are used in patients with recurrent pulmonary embolism and/or deep vein thrombosis who have contraindications to anticoagulation or in whom it has failed. Common complications are related to vascular access and deployment; less frequent complications include mechanical failure such as filter strut fracture.
CASE SUMMARY: We present the case of a 58-year-old woman who had severe cough followed by expectoration of a metallic fragment identified as a fractured strut of a previously implanted inferior vena cava filter (in 2014) (Celect, Cook Medical). A second filter (OPTEASE, Cordis) was implanted in 2016 after unsuccessful retrieval. Computed tomography revealed 2 additional struts in the lungs and a third in the heart, without ventricular communication, myocardial dysfunction, or valvular abnormalities. The patient remained asymptomatic, declined surgery, and has been clinically stable for >8 years of follow-up.
DISCUSSION: This case highlights the importance of multimodality imaging and individualized multidisciplinary approach. Early recognition is crucial to prevent severe complications.
TAKE HOME MESSAGES: Maintain a high index of suspicion for IVC filter migration of fractured struts, and consider multimodality imaging in challenging cases for decision making and follow up.
CASE SUMMARY: We present the case of a 58-year-old woman who had severe cough followed by expectoration of a metallic fragment identified as a fractured strut of a previously implanted inferior vena cava filter (in 2014) (Celect, Cook Medical). A second filter (OPTEASE, Cordis) was implanted in 2016 after unsuccessful retrieval. Computed tomography revealed 2 additional struts in the lungs and a third in the heart, without ventricular communication, myocardial dysfunction, or valvular abnormalities. The patient remained asymptomatic, declined surgery, and has been clinically stable for >8 years of follow-up.
DISCUSSION: This case highlights the importance of multimodality imaging and individualized multidisciplinary approach. Early recognition is crucial to prevent severe complications.
TAKE HOME MESSAGES: Maintain a high index of suspicion for IVC filter migration of fractured struts, and consider multimodality imaging in challenging cases for decision making and follow up.