Endovascular treatment of an abdominal aortic pseudoaneurysm as a late complication of inferior vena cava filter placement.
Pseudoaneurysms of abdominal aorta after inferior vena cava (IVC) filter placement are uncommon, with associated morbidity and mortality. We report a case in which an abdominal aortic pseudoaneurysm resulted from erosion of a Bird's Nest (Cook, Bloomington, IN) IVC filter into the wall of the abdominal aorta. A 64-year-old woman with an IVC filter placed 10 years prior presented to the emergency department complaining of abdominal pain. A computed tomography scan of the abdomen and pelvis showed a 1.4-cm x 2.0-cm infrarenal aortic pseudoaneurysm adjacent to the IVC filter site. A Zenith endograft (Cook) was used via an open femoral artery exposure to successfully treat the pseudoaneurysm.
Medina
Carlos R
CR
Department of Surgery, Temple University Hospital, Philadelphia, PA 19140, USA. cmedina@temple.edu
Indes
Jeffrey
J
Smith
Christopher
C
D015746:Abdominal Pain / Q000209:etiology; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001012:Aorta, Abdominal / Q000293:injuries; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016306:Vena Cava Filters / Q000009:adverse effects*