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Penetrated inferior vena cava filter retrieved by open surgery with deep hypothermic circulatory arrest
Author(s) -
Atik Fernando A.,
Cunha Claudio R.,
Macedo Murilo T.,
Monte Guilherme U.
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14677
Subject(s) - medicine , deep hypothermic circulatory arrest , inferior vena cava , surgery , inferior vena cava filter , vena cava , cardiopulmonary bypass , anesthesia , thrombosis , venous thrombosis , cerebral perfusion pressure , cerebral blood flow
Background and Aim Complications of inferior vena cava filters are relatively common, and they vary according to different filter types and designs. We aim to present a case of penetrated inferior vena cava filter into the liver. Methods Case report. Results A 42‐year old man with thrombophilia (prothrombin gene mutation) required the insertion of an inferior vena cava filter because of recurrent gastrointestinal bleeding associated with oral anticoagulation. However, it penetrated through the retro‐hepatic vena cava into the liver, being manifested by constant, blunt abdominal pain. Endovascular retrieval was considered of extreme risk, though a surgical approach was performed under cardiopulmonary bypass with deep hypothermic circulatory arrest. The patient has recovered uneventfully with complete symptom relief. Conclusions In symptomatic penetrated vena cava filters in which endovascular retrieval is not feasible, a surgical approach with appropriate planning is a safe and effective treatment.