TY - JOUR
T1 - Tulip piercing the aorta
T2 - a rare case of IVC filter aortic perforation and obstruction
AU - Desai, Kshitij
AU - Cook, Jason
AU - Brownie, Evan
AU - Zayed, Mohamed
N1 - Publisher Copyright:
Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2018.
PY - 2018/10/1
Y1 - 2018/10/1
N2 - Prolonged implantation of inferior vena cava (IVC) filters can lead to significant morbidity. We present a 25-year-old man with antiphospholipid syndrome, lower extremity deep vein thrombosis, and subsequent Gunther-Tulip IVC filter placement. More than 10 years following IVC filter placement he developed progressive abdominal and back pains. Cross-sectional angiography revealed that he had a chronic IVC occlusion, and IVC filter limb extensions into the infrarenal aorta, lumbar spine, and right psoas muscle. The IVC filter limb protruding into the aorta had also pierced through the backwall to lead to partial lumen thrombosis and obstruction. The patient underwent a transabdominal exposure of the infrarenal IVC and aorta, filter explantation and aortic patch angioplasty repair. This case highlights the severity of aortic injury from a protruding IVC filter limb that necessitated open aortic repair. Improved selection, monitoring and retrieval stewardship of IVC filters can help reduce the risk of unintended aortic complications.
AB - Prolonged implantation of inferior vena cava (IVC) filters can lead to significant morbidity. We present a 25-year-old man with antiphospholipid syndrome, lower extremity deep vein thrombosis, and subsequent Gunther-Tulip IVC filter placement. More than 10 years following IVC filter placement he developed progressive abdominal and back pains. Cross-sectional angiography revealed that he had a chronic IVC occlusion, and IVC filter limb extensions into the infrarenal aorta, lumbar spine, and right psoas muscle. The IVC filter limb protruding into the aorta had also pierced through the backwall to lead to partial lumen thrombosis and obstruction. The patient underwent a transabdominal exposure of the infrarenal IVC and aorta, filter explantation and aortic patch angioplasty repair. This case highlights the severity of aortic injury from a protruding IVC filter limb that necessitated open aortic repair. Improved selection, monitoring and retrieval stewardship of IVC filters can help reduce the risk of unintended aortic complications.
UR - http://www.scopus.com/inward/record.url?scp=85092037244&partnerID=8YFLogxK
U2 - 10.1093/jscr/rjy280
DO - 10.1093/jscr/rjy280
M3 - Article
AN - SCOPUS:85092037244
SN - 2042-8812
VL - 2018
JO - Journal of Surgical Case Reports
JF - Journal of Surgical Case Reports
IS - 10
M1 - rjy280
ER -