Inferior Vena-cava Filter fracture embolization to the left lung complicated by Massive Hemoptysis.
2020
Abstract Inferior vena-cava(IVC) filter placement for venous thromboembolism(VTE) has increased by 25-fold in the past two decades. Timely retrieval of these filters is often not executed, resulting in long-term complications.We report a case of 44-year-old male who underwent IVC filter placement for chronic VTE who presented with hemoptysis. Chest computed-tomography-angiogram was negative for active bleeding but revealed multiple fragments of fractured filter in the infrarenal Inferior Vena-cava and one fragment extravascular in left-lower-lobe of the lung causing massive hemoptysis. Endovascular technique was unsuccessful in retrieving the extravascular fragment; hence he underwent left-lower-lobe wedge resection with no further episodes of hemoptysis postoperatively.
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