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Eur J Cardiothorac Surg 2002;22:460-461
© 2002 Elsevier Science NL

Case report

Intracardiac migration of nitinol TrapEase^TM vena cava filter and paradoxical embolism

^a Department of Vascular and Endovascular Surgery, Medical School, Federico II University, Naples, Italy
^b Department of Cardiac Surgery, Medical School, Federico II University, Naples, Italy

Received 13 March 2002; received in revised form 22 May 2002; accepted 24 May 2002.

* Corresponding author. Via le Letizia 2, 80131 Naples, Italy. Tel.: +39-81-7462630; fax: +39-81-5452893
e-mail: chirvasc{at}unina.it

The nitinol TrapEase^TM inferior vena cava filter is a new device for pulmonary embolism prophylaxis. No cases of filter migration or filter-related complications with this type of device have so far been described. We report a case of intracardiac migration of this filter in a patient with a patent foramen ovale, resulting in severe cardiogenic shock, cerebral and right arm paradoxical embolism. Surgical treatment, results, causes of these complications are discussed.

Key Words: Embolism • Pulmonary vena cava • Filter embolism • Paradoxical

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