Salomon Poliwoda, Rekhaben Suthar, Nicholas Suraci, Pedro Garcia, Vicente Behrens, Howard Goldman
Department of Anesthesiology, Mount Sinai Medical Center, Miami Beach Anesthesiology Associates, Inc., Miami Beach, Florida, USA
A patient presented to our institution for an elective removal of an inferior vena cava (IVC) filter under local anesthesia. Once removed, it was noticed that the filter had a missing secondary leg. The patient had a chest CT done which showed a hyper-attenuating structure in the region of the tricuspid valve highly suspicious for the fractured strut of the filter. Upon these findings, the patient was taken once again to the surgical suite for an endovascular retrieval of the strut. For fear of a possible cardiac injury and a potential need for a sternotomy, the patient received general anesthesia and was placed with appropriate IV access and full cardiac monitors. The strut was removed successfully without any complications. Despite the relative benign nature of this endovascular procedure, one should always be prepared for an appropriate resuscitation in case of an occurrence of a surgical complication.
Department of Anesthesiology, Mount Sinai Medical Center, 4300 Alton Road, Miami Beach, FL 33140
Source of Support: None, Conflict of Interest: None
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