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Case Reports
. 2020 Jan-Dec:8:2324709620974220.
doi: 10.1177/2324709620974220.

Venous Stent Migrating to the Right Heart Causing Severe Regurgitation

Mazin O Khalid  1 , Norbert Moskovits  1 , Robert A Frankel  1 , Manfred Moskovits  1 , Paul C Saunders  1 , Israel J Jacobowitz  1 , Greg H Ribakove  1 , Jacob Shani  1
Affiliations
Case Reports

Venous Stent Migrating to the Right Heart Causing Severe Regurgitation

Mazin O Khalid et al. J Investig Med High Impact Case Rep. 2020 Jan-Dec.

Abstract

Venous stent migration to the cardiopulmonary system is a rare but serious complication. Cardiopulmonary involvement has various presentations such as valvulopathy, acute heart failure, arrhythmias, endocarditis, and tamponade. The presenting symptoms depend on the eventual location of the stent in the heart or lungs, size of the stent, and valve involvement. Extracardiac dislodgement can be managed by catheter-directed extraction or proper deployment within the containing vessel or surgical extraction. Intracardiac stents may require open surgery to prevent life-threatening complications. We present an asymptomatic patient with stent migration that lead to severe tricuspid regurgitation and required tricuspid valve replacement.

Keywords: adhesion; echocardiogram; right atrium; venous stent.

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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.
Computed tomography of the chest, red arrow reveals a stent in the right atrium and into the right ventricle.
Figure 2.
Figure 2.
The red arrow marks the stent being extracted from the patient right atrium via open thoracotomy.
Figure 3.
Figure 3.
The extracted stent measuring 6 cm in length. The white tissue at the bottoms (red arrow) of the stent is part of the tricuspid valve endothelium.
See this image and copyright information in PMC

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