Migration of a Varicocele Coil to the Right Heart

Karia, Nina; Balmforth, Damian; Lall, Kulvinder; Gupta, Sandy

doi:10.1016/j.jaccas.2020.07.035

Cited by 4 publications

(2 citation statements)

References 8 publications

(8 reference statements)

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“…Delayed complications, such as late tamponade or foreign body embolism, may arise with the heart’s movement, dislocating the object from its original location. On the other hand, surgical removal of a small < 10 mm object well embedded within the cardiac muscle may cause more tissue trauma than the object itself [ 7 ]. Multiple patients have been monitored without intervention for even decades [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

No cupid, just an arrow: a penetrating injury into the interventricular septum

Lehtinen,

Nykänen,

Raivio

2024

J Cardiothorac Surg

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Background Penetrating cardiac injuries are rare but often fatal, with 16–55% mortality. We report a patient who suffered a non-fatal occupational cardiac injury. Case presentation A 47-year-old man was operating an ironworker machine. A thin 3-cm metal fragment catapulted from the machine piercing the chest wall and the right ventricular outflow tract (RVOT), burrowing into the interventricular septum (IVS). The patient remained hemodynamically stable and walked to the nearest hospital. ECG-gated computed tomography revealed the exact location of the fragment within the IVS, allowing for detailed preoperative planning. The fragment was removed through a sternotomy and an incision through the RVOT. The postoperative course was uneventful. Conclusions This case underscores the value of detailed preoperative imaging and the wide spectrum of clinical scenarios of penetrating cardiac injuries.

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Section: Discussionmentioning

confidence: 99%

No cupid, just an arrow: a penetrating injury into the interventricular septum

Lehtinen,

Nykänen,

Raivio

2024

J Cardiothorac Surg

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“…Missiles in the left ventricle should always be removed unless asymptomatic, small in size and completely embedded within the ventricular wall [9] . Small emboli to the right heart (<5mm) can be treated conservatively even if completely intracavitary or partially embedded because their migration with result in distal pulmonary embolism with a very low risk of being life threatening [ 11 , 12 ]. Whereas for larger emboli, their removal is recommended either by endovascular approach or surgery to avoid complications like massive pulmonary embolism, venous obstruction, arrhythmias, valvular dysfunction or myocardial irritability [ 8 , 9 , 12 ].…”

Section: Discussionmentioning

confidence: 99%

Right ventricular shotgun pellet embolism: Case report and radiological aspect

Abdo

Zamoun

Vasile

et al. 2021

Radiology Case Reports

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Pellet embolism to the heart following gunshot injuries is an unusual event that requires a fast diagnosis. Imaging assessment is necessary to locate the projectiles and look for associated injuries. We present a case of a 41-year-old woman admitted after sustaining 2 gunshot wounds in the abdomen and left thigh, with the initial computed tomography (CT) scan showing a metallic object next to the right ventricle. Further radiological evaluation included transthoracic echocardiography and electrocardiogram-gated cardiac CT scan which confirmed the diagnosis of a migrating pellet to the right ventricle, entrapped within the trabeculations. Electrocardiogram-gated cardiac CT has a major role in detailed evaluation of bullet embolism to the heart cavities and guides the management.

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Migration of varicocele coil leading to ureteral obstruction and hydronephrosis: A case report

Alamri

2024

World J Clin Cases

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BACKGROUND Varicocele embolization, a minimally invasive treatment for symptomatic varicoceles, carries a rare risk of complications like ureteral obstruction and hydronephrosis. This case report documents such a case to raise awareness of these potential complications and showcase minimally invasive surgical management as a successful solution. CASE SUMMARY A 35-year-old male presented with flank pain and hematuria following varicocele embolization. Imaging confirmed left ureteral obstruction and hydronephrosis. Laparoscopic ureterolysis successfully removed the embolization coil and repaired the ureter, resolving the patient's symptoms. Follow-up at six months and two years showed sustained improvement. CONCLUSION Minimally invasive surgery offers an effective treatment option for rare complications like ureteral obstruction arising from varicocele embolization.

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Migration of a Varicocele Coil to the Right Heart

Cited by 4 publications

References 8 publications

No cupid, just an arrow: a penetrating injury into the interventricular septum

No cupid, just an arrow: a penetrating injury into the interventricular septum

Right ventricular shotgun pellet embolism: Case report and radiological aspect

Migration of varicocele coil leading to ureteral obstruction and hydronephrosis: A case report

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