Key result
Fractured IVC filter struts cause hemopericardium and cardiogenic shock, successfully managed with pericardiocentesis.
Case Report (n=1)
Clinicians should consider hemopericardium as a potential cause of cardiac tamponade and cardiogenic shock in patients with a history of an inferior vena cava filter placement.
Consider IVC filter migration in unexplained tamponade; single case leaves open surveillance needs.
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.
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Mehta et al. (2018) conducted a case report in Cardiogenic shock, hemopericardium, and cardiac tamponade (n=1). Migrated fractured inferior vena cava filter was evaluated on Clinical outcome and case resolution. Migrated fractured legs of an inferior vena cava filter caused hemopericardium and cardiogenic shock, which was successfully treated with pericardiocentesis.
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