Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
Vascular Surgery, Toronto General Hospital, Toronto, Ontario, Canada.
BMJ Case Rep. 2021 Jun 7;14(6):e241962. doi: 10.1136/bcr-2021-241962.
An 85-year-old man with a known history of abdominal aortic aneurysm (AAA) presented to a vascular surgery clinic with a severely swollen, tender and erythematous left leg. An urgent CT angiogram demonstrated a left-sided, proximal deep vein thrombosis, and a permanent, Bird's Nest inferior vena cava (IVC) filter (Cook, Inc., Bloomington, Ind.) penetrating his AAA. The patient was treated with a course of apixaban 5 mg two times per day and the decision was made to closely observe his IVC filter and AAA, given his numerous comorbidities and age. This case highlights the unique considerations associated with an approach to permanent IVC filter complications among patients with AAAs.
一位 85 岁的男性，既往有腹主动脉瘤（AAA）病史，因左下肢严重肿胀、触痛和红斑而到血管外科诊所就诊。紧急 CT 血管造影显示左侧近端深静脉血栓形成，并且永久性 Bird's Nest 下腔静脉（IVC）滤器（Cook，Inc.，印第安纳州布鲁明顿）穿透他的 AAA。该患者接受了为期一个疗程的阿哌沙班 5mg，每日两次治疗，并决定密切观察他的 IVC 滤器和 AAA，考虑到他有许多合并症和年龄因素。本病例强调了在 AAA 患者中处理永久性 IVC 滤器并发症时需要考虑的独特因素。
