Thakur Kshitij, Dhawan Naveen, Winchester Chia, Singh Amandeep, Bodukam Vijay, Bahl Jaya
Crozer-Chester Medical Center, Upland, PA 19081, USA.
Nova Southeastern University Health Sciences Division, Fort Lauderdale, FL 33314, USA.
Case Rep Cardiol. 2015;2015:938184. doi: 10.1155/2015/938184. Epub 2015 Apr 21.
We report a case of a 58-year-old female who was found to have a fractured limb of her IVC filter in her right ventricle during a cardiac catheterization. A 25 mm radioopaque thin linear structure was seen in the proximal portion of the right ventricle. It was fixed and did not migrate or change position during investigations. On fluoroscopy, the IVC filter was observed in an appropriate location in the midabdomen. Yet, fractures of at least two of the metal filamentous legs of the IVC device were noticed. The patient was made aware of the many risks associated with filter removal. Due to the high risks of the procedure, she refused surgery and the filter fragment was not removed. We present this case to underscore the potential complications of IVC filters.
我们报告一例58岁女性病例，该患者在心脏导管插入术中被发现其下腔静脉滤器的一个肢臂在右心室内发生骨折。在右心室近端可见一个25毫米不透射线的细线性结构。它固定不动，在检查过程中未迁移或改变位置。在荧光透视检查中，下腔静脉滤器位于中腹部的适当位置。然而，注意到下腔静脉装置至少有两条金属丝状支腿发生骨折。已让患者了解与取出滤器相关联的诸多风险。由于该手术风险高她拒绝了手术，滤器碎片未被取出。我们展示此病例以强调下腔静脉滤器的潜在并发症。
