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AJR Teaching File: Chest Pain in a Woman with an Inferior Vena Cava Filter

Benjamin Thonar1, Nilesh H. Patel2,3, Hector Ferral3 and George Behrens1

1 Rush University Medical Center, Chicago, IL.
2 Vascular and Interventional Program, Central DuPage Hospital, 25 N. Winfield Rd., Winfield, IL 60190.
3 Department of Diagnostic Radiology and Nuclear Medicine, Rush University Medical Center, Chicago, IL.


Figure 1
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  		Fig. 1A —37-year-old woman with history of deep venous thrombosis presents with chest pain. Magnified view of lateral chest radiograph shows inferior vena cava (IVC) filter in right atrium.

 

Figure 2
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  		Fig. 1B —37-year-old woman with history of deep venous thrombosis presents with chest pain. Unenhanced chest CT shows IVC filter migration to right heart across tricuspid valve with its legs in right ventricle. No pericardial hematoma is seen.

 

Figure 3
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  		Fig. 1C —37-year-old woman with history of deep venous thrombosis presents with chest pain. Scout film from CT scan shows original location of Günther Tulip filter (Cook, Inc.) in infrarenal IVC.

 

Figure 4
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  		Fig. 1D —37-year-old woman with history of deep venous thrombosis presents with chest pain. Unenhanced abdominal CT acquired 2 months before emergency admission shows Günther Tulip filter in acceptable position, unchanged from its original placement site and with no thrombus.

 

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