Penetrated inferior vena cava filter retrieved by open surgery with deep
hypothermic circulatory arrest
A 42-year old man with thrombophilia (prothrombin gene mutation)
required the insertion of an inferior vena cava filter because of
recurrent gastrointestinal bleeding associated with oral
anticoagulation. However, it penetrated through the retro-hepatic vena
cava into the liver, being manifested by constant, blunt abdominal pain.
Endovascular retrieval was considered of extreme risk, though a surgical
approach was performed under cardiopulmonary bypass with deep
hypothermic circulatory arrest. The patient has recovered uneventfully
with complete symptom relief.