Chandra Preeti A, Nwokolo Chibuzo, Chuprun Dmitry, Chandra Abhinav B
Department of Internal Medicine, Maimonides Medical Center, Brooklyn, NY 11220, USA.
South Med J. 2008 Nov;101(11):1163-4. doi: 10.1097/SMJ.0b013e318172dd80.
A 53-year-old male presented to the emergency room with acute cardiopulmonary compromise. Echocardiography revealed cardiac tamponade. The patient was taken emergently for surgery and a 28 gauge wire of 1.5 cm was retrieved from his right ventricle. A section had fractured from the inferior vena cava (IVC) filter and migrated to the right ventricle, causing perforation and tamponade. Very few cases of fractured IVC filters that have migrated to the heart, and even fewer cases causing cardiac tamponade, have been described. The risk factors that cause migration of IVC filters need to be further elucidated.
一名53岁男性因急性心肺功能不全被送往急诊室。超声心动图显示心包填塞。患者被紧急送往手术室，从其右心室取出一根1.5厘米长的28号导丝。下腔静脉（IVC）滤器的一部分发生断裂并迁移至右心室，导致穿孔和心包填塞。已报道的下腔静脉滤器断裂并迁移至心脏的病例极少，导致心包填塞的病例更是少之又少。导致下腔静脉滤器迁移的危险因素有待进一步阐明。
