Lee Jong Seok, Hwang Jeong Kye, Park Sun Cheol, Kim Sang Dong
Division of Vascular and Transplant Surgery, Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Interact Cardiovasc Thorac Surg. 2019 Mar 1;28(3):487-488. doi: 10.1093/icvts/ivy274.
Complications due to long-term implantation of inferior vena cava (IVC) filters have increased. Among these, IVC wall penetration by struts can lead to penetration of adjacent structures, which can be fatal to the patient. Herein, we report a case of a 63-year-old woman who underwent surgical removal of an IVC filter with duodenal penetration. Oesophagogastroduodenoscopy findings revealed a strut in the duodenal second portion. The IVC filter was inserted 19 months ago but had not been retrieved. On admission, computed tomography showed malposition of the IVC filter with penetration of duodenum by an anterior strut. Therefore, we performed surgical removal of the IVC filter. After surgery, her postoperative course was uneventful.
下腔静脉（IVC）滤器长期植入引起的并发症有所增加。其中，滤器支柱穿透下腔静脉壁可导致邻近结构被穿透，这对患者可能是致命的。在此，我们报告一例63岁女性患者，其因十二指肠穿透接受了IVC滤器取出手术。食管胃十二指肠镜检查发现十二指肠第二部有一个支柱。IVC滤器于19个月前植入，但未取出。入院时，计算机断层扫描显示IVC滤器位置不当，前支柱穿透十二指肠。因此，我们对IVC滤器进行了手术取出。术后，她的恢复过程顺利。
