Misplaced caval filter and subsequent pericardial tamponade

Lahey, Stephen J.; Meyer, Laura P.; Karchmer, Adolf W.; Cronin, Jon; Czorniak, Michael; Maggs, Peter R.; Nesto, Richard W.

doi:10.1016/0003-4975(91)90805-z

Cited by 35 publications

(9 citation statements)

References 4 publications

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“…71,72 With widespread use of Greenfield filters, case reports of late complications have emerged 21,73-89 : • Duodenal perforation 21,73,74 • Caval rupture in aortic mural thrombus 77,78 • Penetration into vertebral bodies 79,80 • Strut failure resulting in penetration into the retroperitoneum 81 • Distal migration resulting in poor alignment and pulmonary emboli 76 • Acute myocardial infarction from migration to the right atrium 82 • Migration into pulmonary artery 83 • Aortic perforation 77,85 • Tricuspid insufficiency from intracardiac migration 87 • Renal pelvis perforation 88 • Penetration into an aortic aneurysm 89 In addition, severe complications during filter placement may occur, including intracardiac and intrapulmonary migration. 90,91 The exact incidence of such complications is unknown, but they serve as a reminder of the potential longterm morbidity associated with filter placement.…”

Section: Vena Cava Filtersmentioning

confidence: 99%

Massive Pulmonary Embolism During Pregnancy Successfully Treated With Recombinant Tissue Plasminogen Activator

Ahearn¹,

Hadjiliadis²,

Govert³

et al. 2002

Arch Intern Med

139

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Section: Vena Cava Filtersmentioning

confidence: 99%

Massive Pulmonary Embolism During Pregnancy Successfully Treated With Recombinant Tissue Plasminogen Activator

Ahearn¹,

Hadjiliadis²,

Govert³

et al. 2002

Arch Intern Med

139

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“…The first description of cardiac tamponade associated with ICVF embolization was performed by Lahey et al [ 13 ] in 1991. In this first published report, the authors associate the displacement of ICVF to its improper placement, with no evidence of fracture.…”

Section: Discussionmentioning

confidence: 99%

Intracardiac embolization of inferior vena cava filter associated with right atrium perforation and cardiac tamponade

Soeiro¹,

Fernandes²,

Teixeira³

et al. 2014

Revista Brasileira De Cirurgia Cardiovascular

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Insertion of inferior vena cava filters has been well established in literature, reducing occurrence of pulmonary embolism after an episode of deep venous thrombosis in patients with contraindication to anticoagulation. There are a small number of complications related to procedure and embolization is rare. In this context, we described a case of intracardiac embolization associated with cardiac tamponade.

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“…Less common mechanisms of injury include self-mutilation and transtracheal, transesophageal, transepicardial, and embolic routes. [3][4][5][6][7] Multiple chambers are often involved in the penetrating cardiac wound, and it is often fatal before medical care is available. Because of its anterior location, the right ventricle is most frequently affected in stab wounds, and consequences of injury may extend to valves, coronary arteries, the interventricular septum, and the conduction system.…”

Section: Discussionmentioning

confidence: 99%

Localization of Missile Tract and Intrapericardial Foreign Body with Computed Tomography: Case Report and Review of the Literature

Heldmann

Martin

Hébert

et al. 2006

The Journal of Trauma: Injury, Infection, and Critical Care

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enetrating chest injuries involving the heart and great vessels are associated with high morbidity and require rapid determination of the anatomic compartment(s) involved to guide urgent therapy. The decision to explore the mediastinum and cardiac structures is often based on clinical signs, but cardiac penetration may occur without acute hemodynamic compromise or hemopericardium. We describe a case of a hemodynamically stable patient who presented to the emergency department (ED) after projectile lawn mower injury, describe the utility of computed tomography in this context, and review the literature regarding these wounds. CASE REPORTA 67-year-old ambulatory man with a medical history of chronic obstructive pulmonary disease and no known surgical history presented to the ED complaining of anterior right chest wound suffered while mowing the lawn. The patient described a fragment of chicken wire fence striking his chest, but claimed it fell out when he removed his shirt. There was no loss of consciousness, and he was alert and oriented ϫ3 in the ED. Physical examination revealed equal breath sounds bilaterally with no peripheral cyanosis, pericardial rub, or jugular venous distention. Blood pressure was 145/89, pulse was 62, and respiratory rate was 18. Oxygen saturation was 100% on room air, and electrocardiogram revealed normal sinus rhythm with first degree atrioventricular block and prolonged QT interval. Erect posteroanterior (PA) and lateral chest radiographs demonstrated a linear high attenuation foreign body overlying the anterior cardiac silhouette (Fig. 1). Transesophageal echocardiography performed in the ED revealed normal left ventral function with no evidence of hemopericardium or intracardiac shunt, but was unable to locate the foreign body.Urgent computed tomography (CT) was then performed and accurately depicted soft tissue stranding in a missile tract that extended inferiorly, posteriorly and leftward from the right parasternal chest wall wound (Fig. 2). The foreign body was readily identified as linear and metallic, lying between the cardiac base and the anterior aspect of the distal esophagus within the mediastinum (Fig. 3). Its position had clearly changed with assumption of supine position for CT (Fig. 1), and a determination of "tumbling" dependent pericardial missile was made. There was no evidence of hemopneumothorax or hemopericardium, and no indication the missile had entered the abdominal cavity.

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Misplaced caval filter and subsequent pericardial tamponade

Cited by 35 publications

References 4 publications

Massive Pulmonary Embolism During Pregnancy Successfully Treated With Recombinant Tissue Plasminogen Activator

Massive Pulmonary Embolism During Pregnancy Successfully Treated With Recombinant Tissue Plasminogen Activator

Intracardiac embolization of inferior vena cava filter associated with right atrium perforation and cardiac tamponade

Localization of Missile Tract and Intrapericardial Foreign Body with Computed Tomography: Case Report and Review of the Literature

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