Explantation of cava filter migrated to the right cardiac chambers

The authors describe long-term conservative management of a patient with previous pulmonary embolism and migration of cava filter to the right heart with fixation at the level of tricuspid valve and right ventricular inflow tract. The cava filter was placed because of pulmonary embolism, and its migration was detected 5 years later. Taking into account high risk of surgical treatment and satisfactory clinical status, conservative management was preferred. After 12 years, tricuspid valve degeneration and hemodynamic decompensation with tricuspid stenosis and severe insufficiency with high pulmonary hypertension required surgical treatment.