A Pericardial Pin: Embolization of an Inferior Vena Cava Filter Strut Presenting as Acute Pericarditis

Kevin G Buda; Jonathan Urbach; Marcel Rivard; Ryan C Knoper; Michelle D Carlson; Louis Kohl

doi:10.1016/j.jaccas.2020.12.014

A Pericardial Pin: Embolization of an Inferior Vena Cava Filter Strut Presenting as Acute Pericarditis

JACC Case Rep. 2021 Feb 17;3(2):304-308. doi: 10.1016/j.jaccas.2020.12.014. eCollection 2021 Feb.

Authors

Kevin G Buda¹, Jonathan Urbach², Marcel Rivard³, Ryan C Knoper⁴, Michelle D Carlson², Louis Kohl²

Affiliations

¹ Department of Internal Medicine, Hennepin Healthcare, Minneapolis, Minnesota, USA.
² Cardiology Division, Department of Internal Medicine, Hennepin Healthcare, Minneapolis, Minnesota, USA.
³ Department of Interventional Radiology, Hennepin County Medical Center, Minneapolis, Minnesota, USA.
⁴ Division of Cardiothoracic Surgery, Department of Surgery, University of Minnesota, USA.

Abstract

A 39-year-old man presented with chest pain initially attributed to viral pericarditis. He was found to have an embolized inferior vena cava filter strut that perforated the right ventricle. Inferior vena cava filter fracture and embolization should be considered in patients with chest pain and pericardial effusion. (Level of Difficulty: Beginner.).

Keywords: CT, computed tomography; DVT, deep venous thrombosis; IVC filter; IVC, inferior vena cava; PE, pulmonary embolism; RV, right ventricle; TTE, transthoracic echocardiogram; cardiac tamponade; pericardial effusion; procedural complications; right ventricular perforation.

Publication types

Case Reports