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Right Ventricle Embolization of IVC Filter Fragments: An Incidental Finding

  • Santiago J. Miyara
  • , Sara Guevara
  • , Linda Shore-Lesserson
  • , Muhammad Shoaib
  • , Claudia Kirsch
  • , Christine N. Metz
  • , Vinay Nair
  • , Lawrence Lau
  • , Rishabh C. Choudhary
  • , Alexia McCann-Molmenti
  • , Anthony M. Baez
  • , Kei Hayashida
  • , Ryosuke Takegawa
  • , Koichiro Shinozaki
  • , Tomoaki Aoki
  • , Mitsuaki Nishikimi
  • , Young Min Cho
  • , Alexis Morell
  • , Stefanos Zafeiropoulos
  • , Stavros Zanos
  • Stacey Watt, Lisandro Montorfano, Cristian D. Bartoc, Claudio M. Lumermann, Judith Aronsohn, Lance B. Becker, Ernesto P. Molmenti
  • The Elmezzi Graduate School of Molecular Medicine
  • Feinstein Institutes for Medical Research
  • Northwell Health System
  • Department of Pediatrics
  • Cleveland Clinic Florida

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Pages (from-to)100-104
Number of pages5
JournalInternational Journal of Angiology
Volume34
Issue number2
DOIs
StatePublished - May 12 2025

Keywords

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

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