International Journal of Case Reports and Images - IJCRI - Case Reports, Case Series, Case in Images, Clinical Images

   
Case Report
 
Fatal acute complete inferior vena cava thrombosis after inferior vena cava filter placement: Role of autopsy in elucidating the diagnosis
Amanda Liggett1, Paul E. Marik2
1MD, PGY-3 Resident, Combined Family/Internal Medicine Residency Program.
2MD, FCCM, FCCP, Professor and Chief, Division of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School. Norfolk, VA, USA.

doi:10.5348/ijcri-201609-CR-10596

Address correspondence to:
Paul Marik
MD, Eastern Virginia Medical School
825 Fairfax Av, Suite 410
Norfolk VA 23507

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How to cite this article
Liggett A, Marik PE. Fatal acute complete inferior vena cava thrombosis after inferior vena cava filter placement: Role of autopsy in elucidating the diagnosis. Int J Case Rep Images 2016;7(1):43–47.


Abstract
Introduction: On rare occasions patients' develop unexpected complications following medical interventions from which they succumb. It is important to learn from these unfortunate events and an autopsy is invaluable in revealing the underlying anatomy of fatal pathophysiology.
Case Report: We describe the catastrophic hospital course in a 58-year-old male who underwent a relatively minor surgical procedure which was complicated by deep venous thrombosis, pulmonary embolism and a paradoxical cerebral embolus. He suffered numerous complications related to placement of a vena caval filter, including complete inferior vena caval thrombosis with hemodynamic collapse.
Conclusion: This case report provides the treating residents perspective of the patients' complex medical course and the value of an autopsy.

Keywords: Surgical complication, Paradoxical cerebral embolus, Vena caval filter, Vena caval obstruction, Autopsy


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Author Contributions
Amanda Liggett – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Paul E. Marik – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Amanda Liggett et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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