Chest Compressions as a Precipitant of Aortocaval Hematoma and Pseudoaneurysm in the Setting of Inferior Vena Cava (IVC) Filter Aortic Penetration: A Case Report

Inferior vena cava (IVC) filters are associated with delayed complications, including aortic penetration, which may present asymptomatically or with clinical sequelae warranting vascular intervention. We present a case of a 52-year-old male with a known indwelling IVC filter with aortic penetration who developed an aortocaval hematoma and pseudoaneurysm following a brief resuscitative event involving chest compressions. This case was managed successfully with endovascular aortic repair (EVAR), with no residual pseudoaneurysm or active extravasation on post-procedural imaging. This case underscores the importance of timely IVC filter retrieval when clinically appropriate and the need for active long-term surveillance in patients with indwelling retrievable IVC filters to mitigate the risk of delayed and potentially life-threatening complications.