Surgical removal of a tilted temporary inferior vena cava filter incorporated with a large thrombus: report of a case.
A 68-year-old woman was referred to our hospital with left leg edema and dull pain. Magnetic resonance imaging and enhanced computed tomography (CT) revealed a huge myoma uteri compressing the left common iliac vein, thus resulting in iliofemoral venous thrombosis. A total hysterectomy was uneventfully performed under the placement of a temporary inferior vena cava (IVC) filter. The postoperative enhanced CT-scan and cavography revealed the 90 degrees -tilted filter incorporated with a large thrombus. As an increased dose of heparin that was administered during the following week resulted in no reduction of the thrombus, a surgical removal was indicated. The infrarenal IVC was clamped proximal and distal to the filter, and the tilted filter with the large thrombus was removed through a longitudinal cavotomy. The postoperative course was uneventful, and she had no recurrence or residual symptoms for 6 months following the surgery.
Sugimoto
Takaki
T
Department of Surgery, Hyogo Prefectural Awaji Hospital, Sumoto 656-0013, Japan.
Nomura
Takuo
T
Kitade
Takashi
T
D000368:Aged; D000925:Anticoagulants / Q000008:administration & dosage; D020878:Device Removal; D005260:Female; D005268:Femoral Vein; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D007044:Hysterectomy; D007084:Iliac Vein; D007889:Leiomyoma / Q000150:complications* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014594:Uterine Neoplasms / Q000150:complications* / Q000601:surgery; D016306:Vena Cava Filters; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*
D000925:Anticoagulants; D006493:Heparin