Migration of the Günther Tulip inferior vena cava filter to the chest.
The authors describe two cases in which Günther Tulip inferior vena cava filters migrated to the chest, necessitating open-heart surgery for retrieval. In the first case, a 52-year-old man was transferred to their hospital from an outside facility after the filter migrated to the main pulmonary artery during attempted filter placement. In the second case, a 72-year-old man, a Günther Tulip filter was found to have migrated to the tricuspid valve after cardiopulmonary arrest and subsequent resuscitation, including emergent central venous line placement. The authors present the relevant details of both cases, discuss possible preventive strategies, and review the available literature about migration of the Günther Tulip filter.
Department of Critical Care Medicine, University of Pittsburgh School of Medicine and University of Pittsburgh Medical Center Presbyterian Hospital, 200 Lothrop St, CMT 4886, Pittsburgh, PA 15213, USA.
Sanjay
S
Galhotra
Nikhil B
NB
Amesur
Albert B
AB
Zajko
Richard L
RL
Simmons
D000368:Aged; D005471:Fluoroscopy; D005548:Foreign-Body Migration / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery; D015641:Radiography, Interventional; D014057:Tomography, X-Ray Computed; D014261:Tricuspid Valve; D016306:Vena Cava Filters / Q000009:adverse effects*