title: Omental flap transposition for inferior vena cava filter penetration.
abstract: A 40-year-old woman presented with uterine malignancy, deep vein thrombosis, and nonmassive pulmonary embolism in both lungs. Gunter-tulip filter was inserted, because she had severe genital bleeding, which is one of the contraindications to anticoagulation therapy. Total hysterectomy was conducted and anticoagulation therapy was started afterward. The thrombus worsened perioperatively, and the filter could not be retrieved. Since there was lymph node recurrence, the second time operation was performed. During operation, the struts were found to be penetrating the inferior vena cava. Omental flap was used to cover the struts, and no associated complications occurred after operation.
authors.affiliation: Department of Cardiology, Musashino Red Cross Hospital, 1-26-1 Kyonan-cho, Musashino City, Tokyo 180-8610, Japan.
authors.forename: Junji
authors.initials: J
authors.lastname: Yamaguchi
authors.affiliation: Department of Cardiology, Musashino Red Cross Hospital, 1-26-1 Kyonan-cho, Musashino City, Tokyo 180-8610, Japan.
authors.forename: Takamichi
authors.initials: T
authors.lastname: Miyamoto
authors.affiliation: Department of Cardiology, Musashino Red Cross Hospital, 1-26-1 Kyonan-cho, Musashino City, Tokyo 180-8610, Japan.
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Hara
authors.affiliation: Department of Cardiology, Musashino Red Cross Hospital, 1-26-1 Kyonan-cho, Musashino City, Tokyo 180-8610, Japan.
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Yamaguchi
authors.affiliation: Department of Cardiology, Musashino Red Cross Hospital, 1-26-1 Kyonan-cho, Musashino City, Tokyo 180-8610, Japan.
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Umemoto
keywords: Inferior vena cava filter; Omental flap; Penetration; Venous thromboembolism