title: Embolization of Inferior Vena Cava Filter Tyne and Right Ventricular Perforation: A Cardiac Missile.
abstract: Inferior vena cava (IVC) filter is a medical device placed in patients with proven pulmonary embolism or those with risk of embolization. Although many IVC filters are designed for removal after patient recovery, in many instances they are never retrieved. We present a case of a 22-year-old woman who underwent placement of an IVC filter as a prophylactic measure following a C-6 spinal injury that rendered her a quadriplegic. A tyne from the filter later fractured and embolized to the right ventricle, leading to perforation and subsequent large symptomatic pericardial effusion. The tyne was retrieved through a subxiphoid pericardial window, and the patient had an uneventful recovery. She later underwent retrieval of the entire filter.
authors.affiliation: Department of Medicine, Lifespan Hospitals, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island.
authors.forename: Thomas
authors.initials: T
authors.lastname: Ollila
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Lifespan Hospitals, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island.
authors.forename: Syed
authors.initials: S
authors.lastname: Naeem
authors.affiliation: Division of Cardiology, Department of Medicine, Cardiovascular Institute, Lifespan Hospitals, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island.
authors.forename: Athena
authors.initials: A
authors.lastname: Poppas
authors.affiliation: Division of Cardiology, Department of Medicine, Cardiovascular Institute, Lifespan Hospitals, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island.
authors.forename: George
authors.initials: G
authors.lastname: McKendall
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Lifespan Hospitals, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island. Electronic address: aehsan@lifespan.org.
authors.forename: Afshin
authors.initials: A
authors.lastname: Ehsan
mesh_terms: D020878:Device Removal; D004621:Embolization, Therapeutic; D005260:Female; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D006352:Heart Ventricles / Q000293:injuries*; D006801:Humans; D011655:Pulmonary Embolism / Q000517:prevention & control; D016896:Treatment Outcome; D016306:Vena Cava Filters / Q000009:adverse effects*; D055815:Young Adult