|IMAGE IN HEMATOLOGY
|Year : 2020 | Volume
| Issue : 1 | Page : 37
Inferior vena cava filter eroding the aorta
Mayyadah H Alabdely1, Hazza A Alzahrani2
1 Department of Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Kingdome of Saudi Arabia
2 Department of Adult Hematology, King Faisal Specialist Hospital and Research Center, Riyadh, Kingdome of Saudi Arabia
|Date of Submission||29-Oct-2019|
|Date of Acceptance||16-Dec-2019|
|Date of Web Publication||13-Mar-2020|
Dr. Mayyadah H Alabdely
Department of Medicine, King Faisal Specialist Hospital and Research Center, P.O Box 3354, Riyadh 11211
Kingdome of Saudi Arabia
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Alabdely MH, Alzahrani HA. Inferior vena cava filter eroding the aorta. J Appl Hematol 2020;11:37
A 42-year-old female is known to have sickle thalassemia and positive essential thrombocythemia with recurrent extensive venous thromboembolism, including lower limb deep vein thrombosis, pulmonary emboli, portal vein thrombosis, and splenic vein thrombosis. Her status is postsplenectomy. Due to her extensive thromboembolic events that were recalcitrant to anticoagulant therapy, she had two inferior vena cava (IVC) filters inserted, which were not retrieved. On follow-up, computed tomography scan showed that the upper IVC is displaced and has permeated through the IVC to the surrounding tissues, including the aorta [Figure 1]. An extensive discussion with vascular surgery was made, as the operation has high risk of bleeding in view of her portal hypertension. After discussing with the patient, a decision of not intervening and simply observing the patient was made. She has regular follow-up every 4 months at the hematology clinic. She is doing well and is on anticoagulation medication.
|Figure 1: Inferior vena cava filter appears displaced and has eroded into the aorta. No evidence of aortic aneurysm, thrombosis, dissection, or bleeding|
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