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Int J Angiol 2025; 34(02): 100-104
DOI: 10.1055/s-0041-1730451
Case Report

Right Ventricle Embolization of IVC Filter Fragments: An Incidental Finding

Santiago J. Miyara    *
1   Elmezzi Graduate School of Molecular Medicine, Manhasset, New York, New York
2   Feinstein Institutes for Medical Research, Manhasset, New York, New York
,
Sara Guevara   *
3   Department of Surgery, North Shore University Hospital, Manhasset, New York, New York
,
Linda Shore-Lesserson   *
4   Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, New York
5   Department of Anesthesiology, North Shore University Hospital, Manhasset, New York, New York
,
Muhammad Shoaib
2   Feinstein Institutes for Medical Research, Manhasset, New York, New York
4   Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, New York
6   Department of Emergency Medicine, North Shore University Hospital, Manhasset, New York, New York
,
Claudia Kirsch
7   Department of Radiology, North Shore University Hospital, Manhasset, New York, New York
,
Christine N. Metz
1   Elmezzi Graduate School of Molecular Medicine, Manhasset, New York, New York
2   Feinstein Institutes for Medical Research, Manhasset, New York, New York
,
Vinay Nair
4   Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, New York
8   Department of Medicine, North Shore University Hospital, Manhasset, New York, New York
,
Lawrence Lau
3   Department of Surgery, North Shore University Hospital, Manhasset, New York, New York
,
Rishabh C. Choudhary
2   Feinstein Institutes for Medical Research, Manhasset, New York, New York
6   Department of Emergency Medicine, North Shore University Hospital, Manhasset, New York, New York
,
Alexia McCann-Molmenti
6   Department of Emergency Medicine, North Shore University Hospital, Manhasset, New York, New York
,
Anthony M. Baez
3   Department of Surgery, North Shore University Hospital, Manhasset, New York, New York
,
Kei Hayashida
2   Feinstein Institutes for Medical Research, Manhasset, New York, New York
6   Department of Emergency Medicine, North Shore University Hospital, Manhasset, New York, New York
,
Ryosuke Takegawa
2   Feinstein Institutes for Medical Research, Manhasset, New York, New York
6   Department of Emergency Medicine, North Shore University Hospital, Manhasset, New York, New York
,
Koichiro Shinozaki
2   Feinstein Institutes for Medical Research, Manhasset, New York, New York
6   Department of Emergency Medicine, North Shore University Hospital, Manhasset, New York, New York
,
Tomoaki Aoki
2   Feinstein Institutes for Medical Research, Manhasset, New York, New York
6   Department of Emergency Medicine, North Shore University Hospital, Manhasset, New York, New York
,
Mitsuaki Nishikimi
2   Feinstein Institutes for Medical Research, Manhasset, New York, New York
6   Department of Emergency Medicine, North Shore University Hospital, Manhasset, New York, New York
,
Young Min Cho
2   Feinstein Institutes for Medical Research, Manhasset, New York, New York
,
Alexis Morell
3   Department of Surgery, North Shore University Hospital, Manhasset, New York, New York
,
Stefanos Zafeiropoulos
1   Elmezzi Graduate School of Molecular Medicine, Manhasset, New York, New York
2   Feinstein Institutes for Medical Research, Manhasset, New York, New York
,
Stavros Zanos
1   Elmezzi Graduate School of Molecular Medicine, Manhasset, New York, New York
2   Feinstein Institutes for Medical Research, Manhasset, New York, New York
,
Stacey Watt
9   Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, New York
,
Lisandro Montorfano
10   Department of General Surgery, Cleveland Clinic Florida, Weston, Florida
,
Cristian D. Bartoc
4   Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, New York
5   Department of Anesthesiology, North Shore University Hospital, Manhasset, New York, New York
,
Claudio M. Lumermann
4   Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, New York
5   Department of Anesthesiology, North Shore University Hospital, Manhasset, New York, New York
,
Judith Aronsohn
4   Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, New York
5   Department of Anesthesiology, North Shore University Hospital, Manhasset, New York, New York
,
Lance B. Becker
1   Elmezzi Graduate School of Molecular Medicine, Manhasset, New York, New York
2   Feinstein Institutes for Medical Research, Manhasset, New York, New York
3   Department of Surgery, North Shore University Hospital, Manhasset, New York, New York
4   Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, New York
6   Department of Emergency Medicine, North Shore University Hospital, Manhasset, New York, New York
,
Ernesto P. Molmenti
3   Department of Surgery, North Shore University Hospital, Manhasset, New York, New York
6   Department of Emergency Medicine, North Shore University Hospital, Manhasset, New York, New York
› Author Affiliations
Funding None.
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Abstract

This case report describes a 52-year-old male patient, with the incidental finding of inferior vena cava filter (IVCF) fragments impacted into the right ventricle, secondary to IVCF fragmentation and subsequent embolization. While IVCFs are prescribed to prevent pulmonary embolizations when anticoagulation is either contraindicated, or has failed, IVCF embolizations to the heart represent an extremely rare, but potentially life-threatening complication. Of note, at the time of writing, the utility and effectiveness of IVCF are not fully established. Intracardiac embolizations of IVCF typically present with complications such as hypotension, cardiac tamponade, arrhythmias, ventricle perforation, bleeding, cardiac arrest, and death. To our knowledge, this is the first case report of an asymptomatic kidney transplant recipient found to have right ventricle embolizations of IVCF fragments through routine assessment. Additionally, this is also the first report of an asymptomatic patient who presented IVCF fragments embolized to the right ventricle and left gonadal vein in the same clinical setting.

Keywords

IVCFs - intracardiac embolization - thrombosis - thromboembolic disease - DVT - IVCF migration - pulmonary embolism - incidental finding

* These authors had equal contribution.




Publication History

Received: 01 February 2021

Accepted: 08 March 2021

Article published online:
30 July 2021

© 2021. International College of Angiology. This article is published by Thieme.

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