Chest Compressions as a Precipitant of Aortocaval Hematoma and Pseudoaneurysm in the Setting of Inferior Vena Cava (IVC) Filter Aortic Penetration: A Case Report

Authors

• Anthony N. Cholagh, Henry Ford HealthFollow
• Deema Ujayli, Henry Ford HealthFollow
• Ragamayi Maramraju, Henry Ford HealthFollow
• Mansi Joglekar, Henry Ford HealthFollow
• Rohan Patel, Henry Ford HealthFollow

Recommended Citation

Cholagh AN, Ujayli D, Maramraju R, Joglekar M, Patel R. Chest Compressions as a Precipitant of Aortocaval Hematoma and Pseudoaneurysm in the Setting of Inferior Vena Cava (IVC) Filter Aortic Penetration: A Case Report. Cureus. 2026;18(5):e108966.

Document Type

Article

Publication Date

5-1-2026

Publication Title

Cureus

Abstract

Inferior vena cava (IVC) filters are associated with delayed complications, including aortic penetration, which may present asymptomatically or with clinical sequelae warranting vascular intervention. We present a case of a 52-year-old male with a known indwelling IVC filter with aortic penetration who developed an aortocaval hematoma and pseudoaneurysm following a brief resuscitative event involving chest compressions. This case was managed successfully with endovascular aortic repair (EVAR), with no residual pseudoaneurysm or active extravasation on post-procedural imaging. This case underscores the importance of timely IVC filter retrieval when clinically appropriate and the need for active long-term surveillance in patients with indwelling retrievable IVC filters to mitigate the risk of delayed and potentially life-threatening complications.

PubMed ID

42148188

Volume

18

Issue

5

First Page

108966

Last Page

108966