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. 2018 Sep 7:6:2324709618799118.
doi: 10.1177/2324709618799118. eCollection 2018 Jan-Dec.

An Unusual Cause of Acute Heart Failure: A Case Report of Iliocaval Venous Stent Migration

Sherif Elmahdy  1 , Christian C Shults  1 , Muhamad Alhaj Moustafa  1
Affiliations

An Unusual Cause of Acute Heart Failure: A Case Report of Iliocaval Venous Stent Migration

Sherif Elmahdy et al. J Investig Med High Impact Case Rep. .

Abstract

Stent migration is an uncommon complication of endovascular stenting procedures. It could cause serious cardiovascular complications. In this article, we describe an interesting case of acute heart failure as a result of stent embolization from the left common iliac vein into the right ventricle and how it was identified and managed.

Keywords: May-Thurner syndrome; common iliac vein; heart failure; stent migration; tricuspid valve replacement.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
(A) Transesophageal echocardiogram depicting the migrated stent across the tricuspid valve resulting in severe tricuspid regurgitation. (B) Doppler-enhanced transesophageal echocardiogram image depicting severe tricuspid regurgitation as a result of the migrated stent. LA, left atrium; RA, right atrium; RV, right ventricle; TV, tricuspid valve; TR, tricuspid regurgitation.
Figure 2.
Figure 2.
Intraoperative image showing surgical retrieval of the embolized stent through open sternotomy assisted by cardiac bypass.
See this image and copyright information in PMC

References

    1. Seager MJ, Busuttil A, Dharmarajah B, Davies AH. Editor’s choice—a systematic review of endovenous stenting in chronic venous diseases secondary to iliac vein obstruction. Eur J Vasc Endovasc Surg. 2016;51:100-120. - PubMed
    1. Daprati A, Generali T, Arlati F, Agrifoglio M. Migration of endovascular stent to the right atrium in dialysis patient. Asian Cardiovasc Thorac Ann. 2012;20:608-609. - PubMed
    1. Chen Y, Mou Y, Cheng Y, Wang H, Zheng Z. Late stent migration into the right ventricle in a patient with nutcracker syndrome. Ann Vasc Surg. 2015;29:839. - PubMed
    1. Kaneko K, Hirono O, Yuuki K, et al. Complete atrioventricular block due to venous stent migration from innominate vein to right ventricle: a case report. J Cardiol. 2009;53:453-457. - PubMed
    1. Mullens W, De Keyser J, Van Dorpe A, et al. Migration of two venous stents into the right ventricle in a patient with May-Thurner syndrome. Int J Cardiol. 2006;110:114-115. - PubMed

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