Aortic pseudoaneurysm after penetration by a Simon nitinol inferior vena cava filter.
This report describes an unusual complication related to inferior vena cava (IVC) filter placement. A 50-year-old woman undergoing long-term anticoagulation presented to her primary care physician with abdominal pain after a motor vehicle accident. An IVC filter had been placed 7 years earlier. Computed tomography of the abdomen demonstrated a moderate perisplenic hematoma and a fragmented IVC filter penetrating the aorta. A small infrarenal aortic pseudoaneurysm had developed at the penetration site. Wallgraft placement successfully sealed the aneurysm.
Putterman
Daniel
D
Department of Radiology, Temple University Hospital, 3401 North Broad Street, Philadelphia, Pennsylvania 19140, USA. puttermd@yahoo.com
Niman
Dmitri
D
Cohen
Gary
G
D015746:Abdominal Pain / Q000209:etiology; D000063:Accidents, Traffic; D000497:Alloys; D017541:Aneurysm, False / Q000209:etiology*; D001012:Aorta, Abdominal / Q000293:injuries*; D017544:Aortic Aneurysm, Abdominal / Q000209:etiology*; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006406:Hematoma / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D013154:Spleen / Q000293:injuries; D015607:Stents; D016306:Vena Cava Filters / Q000009:adverse effects* / Q000145:classification
D000497:Alloys; C013616:nitinol