Author/Authors :
Mehta, Jeet J. Internal Medicine Pediatrics - University of Kansas School of Medicine-Wichita, USA , DeMarco, Benjamin Department of Internal Medicine - University of North Carolina Hospitals & Clinics, Chapel Hill, NC, USA , Vavalle, John P. Department of Cardiology - University of North Carolina Hospitals & Clinics, Chapel Hill, NC, USA , Tahir, Khola S. Department of Cardiology - University of North Carolina Hospitals & Clinics, Chapel Hill, NC, USA , Rossi, Joseph S. Department of Cardiology - University of North Carolina Hospitals & Clinics, Chapel Hill, NC, USA
Abstract :
A 73-year-old female presented with cardiogenic shock secondary to hemopericardium and cardiac tamponade. Imaging revealed
two fractured legs of an inferior vena cava filter, with one leg within the anterior myocardium of the right ventricle and another
penetrating the inferior septum through the middle cardiac vein. Hemopericardium and cardiac tamponade were treated with
pericardiocentesis. A multidisciplinary meeting resulted in deferring further action against the embedded fractured legs of the
filter with consideration of the patient’s age and comorbidities. This case report should alert clinicians to think about
hemopericardium as a cause of cardiac tamponade and cardiogenic shock in a patient with a history of an inferior vena cava
filter placement
