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Tulip piercing the aorta: a rare case of IVC filter aortic perforation and obstruction

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 dev...

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Autores principales: Desai, Kshitij, Cook, Jason, Brownie, Evan, Zayed, Mohamed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6204720/
https://www.ncbi.nlm.nih.gov/pubmed/30386545
http://dx.doi.org/10.1093/jscr/rjy280
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author Desai, Kshitij
Cook, Jason
Brownie, Evan
Zayed, Mohamed
author_facet Desai, Kshitij
Cook, Jason
Brownie, Evan
Zayed, Mohamed
author_sort Desai, Kshitij
collection PubMed
description 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.
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spelling pubmed-62047202018-10-31 Tulip piercing the aorta: a rare case of IVC filter aortic perforation and obstruction Desai, Kshitij Cook, Jason Brownie, Evan Zayed, Mohamed J Surg Case Rep Case Report 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. Oxford University Press 2018-10-29 /pmc/articles/PMC6204720/ /pubmed/30386545 http://dx.doi.org/10.1093/jscr/rjy280 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2018. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Desai, Kshitij
Cook, Jason
Brownie, Evan
Zayed, Mohamed
Tulip piercing the aorta: a rare case of IVC filter aortic perforation and obstruction
title Tulip piercing the aorta: a rare case of IVC filter aortic perforation and obstruction
title_full Tulip piercing the aorta: a rare case of IVC filter aortic perforation and obstruction
title_fullStr Tulip piercing the aorta: a rare case of IVC filter aortic perforation and obstruction
title_full_unstemmed Tulip piercing the aorta: a rare case of IVC filter aortic perforation and obstruction
title_short Tulip piercing the aorta: a rare case of IVC filter aortic perforation and obstruction
title_sort tulip piercing the aorta: a rare case of ivc filter aortic perforation and obstruction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6204720/
https://www.ncbi.nlm.nih.gov/pubmed/30386545
http://dx.doi.org/10.1093/jscr/rjy280
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