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Diagnosis of myocardial perforation by a Greenfield filter made by transesophageal echocardiography.
Authors:Jan J De Waele  Michel De Pauw  Yves Van Belleghem  Guido Van Nooten
Institution:Department of Cardiac Surgery, Intensive Care Unit 1K12, University Hospital Ghent, De Pintelaan 185, 9000 Ghent, Belgium. jan.dewaele@rug.ac.be
Abstract:Greenfield filters have been successfully used to prevent pulmonary embolism in selected patients. However, various complications have been described. A patient is presented in whom a Greenfield filter migrated to the right atrium, and subsequently perforated the right atrial wall. The diagnosis was made by transesophageal echocardiography and the filter removed surgically. This case emphasizes the role of transesophageal echocardiography in the management of migrated Greenfield filters.
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