Case Report

Cardiac Tamponade Caused by Fracture and Migration of Inferior Vena Cava Filter

Authors: Preeti A. Chandra, MD, Chibuzo Nwokolo, MD, Dmitry Chuprun, MD, Abhinav B. Chandra, MD

Abstract

A 53-year-old male presented to the emergency room with acute cardiopulmonary compromise. Echocardiography revealed cardiac tamponade. The patient was taken emergently for surgery and a 28 gauge wire of 1.5 cm was retrieved from his right ventricle. A section had fractured from the inferior vena cava (IVC) filter and migrated to the right ventricle, causing perforation and tamponade. Very few cases of fractured IVC filters that have migrated to the heart, and even fewer cases causing cardiac tamponade, have been described. The risk factors that cause migration of IVC filters need to be further elucidated.

This content is limited to qualifying members.

Existing members, please login first.

If you have an existing account please login now to access this article or view your purchase options.

Purchase only this article ($15)

Create a free account, then purchase this article to download or access it online for 24 hours.

Purchase an SMJ online subscription ($75)

Create a free account, then purchase a subscription to get complete access to all articles for a full year.

Purchase a membership plan (fees vary)

Premium members can access all articles plus recieve many more benefits. View all membership plans and benefit packages.

References

1.Ganguli S, Tham JC, Komlos F, et al. Fracture and migration of a suprarenal inferior vena cava filter in a pregnant patient. J Vasc Interv Radiol 2006;17:1707–1711.
 
2.Saeed I, Garcia M, McNicholas K. Right ventricular migration of a recovery IVC filter’s fractured wire with subsequent pericardial tamponade. Cardiovasc Intervent Radiol 2006;29:685–686.
 
3.Rossi P, Arata FM, Bonaiuti P, et al. Fatal outcome in atrial migration of the Tempofilter. Cardiovasc Intervent Radiol 1999;22:227–231.
 
4.Kuo WT, Loh CT, Sze DY. Emergency retrieval of a G2 filter after complete migration into the right ventricle. J Vasc Interv Radiol 2007;18:1177–1182.
 
5.Vergara GR, Wallace WF, Bennett KR. Spontaneous migration of an inferior vena cava filter resulting in cardiac tamponade and percutaneous filter retrieval. Catheter Cardiovasc Interv 2007;69:300–302.
 
6.Hussain SM, McLafferty RB, Schmittling ZC, et al. Superior vena cava perforation and cardiac tamponade after filter placement in the superior vena cava—a case report. Vasc Endovascular Surg 2005;39:367–370.