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Ann Thorac Surg 1991;51:299-300
© 1991 The Society of Thoracic Surgeons

Articles

Misplaced caval filter and subsequent pericardial tamponade

Stephen J. Lahey, MD*,a,b, Laura P. Meyer, MDa,b, Adolf W. Karchmer, MDa,b, Jon Cronin, MDa,b, Michael Czorniak, MDa,b, Peter R. Maggs, MDa,b, Richard W. Nesto, MDa,b

a Divisions of Cardiothoracic Surgery and Cardiology, New England Deaconess Hospital, Boston USA
b Divisions of Cardiothoracic Surgery and Cardiology, Milton Medical Center, Milton, Massachusetts USA

Accepted for publication July 18, 1990.

* Address reprint requests to Dr Lahey, 110 Francis St, Suite 2C, Boston, MA 02215.

Use of the Greenfield filter for partial caval interruption is generally accepted as the most reliable mechanical method of pulmonary embolus prophylaxis. However, there have been reports of a variety of (usually nonfatal) complications. We report here the near-fatal complication of acute pericardial tamponade after misplacement of a Greenfield filter. Because of the filter's unusual location, retrieval required cardiopulmonary bypass, profound hyperthermia, and circulatory arrest.




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