By Hratch L Karamanoukian MD FACS RVT RPhS DABVLM and Iskander Cobanoglu MBBS (United Arab Emirates)
A larger number of patients are being recognized as having pelvic congestion syndrome and are being interrogated with pelvic Doppler ultrasound and cross sectional studies that use MRI technology and CT venography.
A recent case report regarding migrated coil to the right ventricle was reported by Luca Scott and Jack Cullen in Vascular and Endovascular Review.
The authors gave this manuscript the title of Incidental Finding of an Asymptomatic Migrated Coil to the Right Ventricle after Pelvic Vein Embolization. however, the patient was symptomatic.
The case describes a 54 year old woman who presented to the emergency department with sudden onset pleuritic chest pain with shortness of breath ! The patient had 2 separated embolization procedures (5 years apart) to the ovarian veins.
Chest xray (lateral view) in the emergency department showed a foreign body in the ventricle. CT pulmonary ngiogram showed no emboli in the lungs. 2D echocardiorgram showed the coil to be adherent to the septum of the heart at the cardiac apex on the right ventricular side.
The patient was evaluated in multidisciplinary conference and "deemed low risk for embolization" and discharged "without need for intervention". Consent for the procedure should include this potential complication and that this may need interventional retrieval.
Dr Cobanoglu has experience with retrieval of embolized coils to the heart.
Reference: Luca Scott and Jack Cullen. Incidental Finding of an Asymptomatic Migrated Coil to the Right Ventricle after Pelvic Vein Embolization. Vascular and Endovascular Review.
Here is the link for the article: https://www.verjournal.com/articles/incidental-finding-asymptomatic-migrated-coil-right-ventricle-following-pelvic-vein