Lumbar artery pseudoaneurysm in a patient with inferior vena cava filter and history of strenuous physical exercise.
Lumbar artery pseudoaneurysms (LAPs) are a rare complication of inferior vena cava (IVC) filters. The few reports in the literature describe treatment of patients presenting with ruptured LAPs. This case report describes the successful management of a symptomatic LAP because of an IVC filter, which initially presented as a retroperitoneal hematoma resulting from lumbar artery laceration by a filter strut. We hypothesize that the strenuous abdominal exercises performed by the patient may have facilitated IVC penetration by the filter, leading to development of a retroperitoneal hematoma and subsequent LAP. This case suggests that patients with IVC filters should avoid strenuous exercise and underscores the importance of timely retrieval of nonpermanent IVC filters.
Jobst Vascular Institute, Toledo, Ohio.
Nikolaos
N
Tsekouras
Jobst Vascular Institute, Toledo, Ohio.
Ralph C
RC
Whalen
Jobst Vascular Institute, Toledo, Ohio. Electronic address: marilyn.gravett@promedica.org.
Anthony J
AJ
Comerota
D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D001158:Arteries / Q000293:injuries; D020878:Device Removal; D004621:Embolization, Therapeutic; D006406:Hematoma / Q000209:etiology; D006801:Humans; D008159:Lumbar Vertebrae / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D010690:Phlebography / Q000379:methods; D005082:Physical Exertion; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation*; D012307:Risk Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D016306:Vena Cava Filters / Q000009:adverse effects*; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000601:surgery*