Unfastening of an Adams-de Weese clip: an uncommon cause of recurrent pulmonary embolism after interruption of the inferior vena cava.
Recurrent pulmonary embolism after placement of a caval clip is uncommon. We report the case of a patient admitted for recurrent venous thrombosis of the lower limbs, 11 years after placement of an Adams-de Weese clip. Severe pulmonary embolism occurred in spite of anticoagulant treatment. After an unsuccessful attempt to insert a Greenfield filter, surgery was performed. The clip was found to have come unfastened; simple repeat closure was performed. We were unable to find any similar reports in the literature. In spite of its rarity, this cause should be considered when faced with recurrent pulmonary embolism in patients having undergone inferior vena caval clipping.
Rudondy
P
P
Service de Chirurgie Cardio-Vasculaire, Hôpital Saint Joseph, Marseille, France.
Jausseran
J M
JM
Bergeron
P
P
Courbier
R
R
D003250:Constriction / Q000295:instrumentation; D004868:Equipment Failure; D006801:Humans; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000209:etiology*; D012008:Recurrence; D012086:Reoperation; D014682:Vena Cava, Inferior / Q000601:surgery*