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IMAGE IN HEMATOLOGY
Year : 2020  |  Volume : 11  |  Issue : 1  |  Page : 37

Inferior vena cava filter eroding the aorta


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 Submission29-Oct-2019
Date of Acceptance16-Dec-2019
Date of Web Publication13-Mar-2020

Correspondence Address:
Dr. Mayyadah H Alabdely
Department of Medicine, King Faisal Specialist Hospital and Research Center, P.O Box 3354, Riyadh 11211
Kingdome of Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/joah.joah_71_19

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How to cite this article:
Alabdely MH, Alzahrani HA. Inferior vena cava filter eroding the aorta. J Appl Hematol 2020;11:37

How to cite this URL:
Alabdely MH, Alzahrani HA. Inferior vena cava filter eroding the aorta. J Appl Hematol [serial online] 2020 [cited 2020 Apr 9];11:37. Available from: http://www.jahjournal.org/text.asp?2020/11/1/37/280549

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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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.




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