Journal of Vascular Surgery
Volume 48, Issue 1 , Pages 223-225 , July 2008

Late complication from a retrievable inferior vena cava filter with associated caval, aortic, and duodenal perforation: A case report

  • Massimiliano Veroux, MD, PhD

      Affiliations

    • Vascular Surgery and Organ Transplant Unit–Department of Surgery, Transplantation and Advanced Technologies, University Hospital of Catania, Catania, Italy
    • Corresponding Author InformationReprint requests: Massimiliano Veroux, MD, PhD, Vascular Surgery and Organ Transplant Unit-Department of Surgery, Transplantation and Advanced Technologies, University Hospital of Catania, Via Santa Sofia 83, 95123 Catania, Italy.
    • ,
  • Tiziano Tallarita, MD

      Affiliations

    • Vascular Surgery and Organ Transplant Unit–Department of Surgery, Transplantation and Advanced Technologies, University Hospital of Catania, Catania, Italy
    • ,
  • Monica Pennisi, MD

      Affiliations

    • Department of Radiology, University Hospital of Catania, Catania, Italy.
    • ,
  • Pierfrancesco Veroux, MD

      Affiliations

    • Vascular Surgery and Organ Transplant Unit–Department of Surgery, Transplantation and Advanced Technologies, University Hospital of Catania, Catania, Italy

Received 3 December 2007 ,Accepted 1 February 2008.

  • Image Result

    A, Computed tomography angiography of the abdomen demonstrated the complete thrombosis of the inferior vena cava, just above the renal veins, which were not involved by thrombosis. The filter's hooks

    A, Computed tomography angiography of the abdomen demonstrated the complete thrombosis of the inferior vena cava, just above the renal veins, which were not involved by thrombosis. The filter's hooks perforated the inferior vena cava wall and aorta, in which a mural thrombus is clearly evident. B, Computed tomography axial view showed the perforation of duodenum by the filter's hook (arrow). Note the partial thrombosis of aortic lumen.

  • Image Result
    This intraoperative view shows that the filter strut (arrow) has perforated the inferior vena cava (IVC) wall into the duodenum (D).

    This intraoperative view shows that the filter strut (arrow) has perforated the inferior vena cava (IVC) wall into the duodenum (D).

  • Image Result
    Intraoperative view shows the perforation of the right lateral aortic wall by the filter strut.

    Intraoperative view shows the perforation of the right lateral aortic wall by the filter strut.

 Competition of interest: none.

PII: S0741-5214(08)00199-7

doi: 10.1016/j.jvs.2008.02.002

Journal of Vascular Surgery
Volume 48, Issue 1 , Pages 223-225 , July 2008

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