Department of Surgery, Universidade Estadual Paulista (UNESP), Botucatu, São Paulo, Brazil.
Braz J Cardiovasc Surg. 2022 Dec 1;37(6):942-944. doi: 10.21470/1678-9741-2021-0438.
Inferior vena cava filter embolization is not uncommon and can reach 11.8%. However, device migration to the heart is not frequent and occurs in cases after inferior vena cava filter fracture. We present the case of a young woman who was submitted to a routine inferior vena cava filter placement three days before and presented with hemodynamic instability. Since the device was not retrievable, the surgical team opted for an open cardiac surgery under cardiopulmonary bypass to remove the inferior vena cava filter and avoid other further complications.
下腔静脉滤器栓塞并不少见,发生率可达 11.8%。然而,滤器迁移至心脏并不常见,仅发生于下腔静脉滤器断裂后。我们报告了 1 例年轻女性病例,该患者在 3 天前行常规下腔静脉滤器置入术,后出现血流动力学不稳定。由于无法取出滤器,手术团队选择在体外循环下进行开放性心脏手术,以移除下腔静脉滤器并避免其他进一步的并发症。