# Limb fracture, embolization, and penetration of the heart: a case report of a complication of unretrieved inferior vena cava filters

## TL;DR

A woman had a heart complication 16 years after a filter was placed in her vein, showing the risks of leaving such devices in too long.

## Contribution

This case report highlights long-term complications of unretrieved inferior vena cava filters and their management.

## Key findings

- A 47-year-old woman had an intracardiac filter strut fragment 16 years after implantation.
- One fragment was surgically removed, while another in the pulmonary artery was managed without surgery.
- The case emphasizes the need for timely filter retrieval to avoid complications.

## Abstract

Inferior vena cava filters are commonly used in patients with venous thromboembolism who cannot tolerate anticoagulation. While retrievable filters are preferred, many remain in place long-term, increasing the risk of complications such as filter strut fracture and embolization. We present a case of a 47-year-old female with an incidentally discovered intracardiac filter strut fragment, 16 years post-implantation. Minimally invasive surgical removal was performed, while an additional embolized fragment in the pulmonary artery was managed conservatively. This case underscores the importance of timely filter retrieval to prevent complications and highlights management considerations for embolized struts.