EMBOLIZATION OF IMPLANON DEVICES – LUNG SPARING VIDEOASSISTED THORACIC SURGERY

Authors

  • Sara Lopes Department of Cardiothoracic Surgery, São João Hospital, Porto, Portugal
  • Rita Costa Department of Cardiothoracic Surgery, São João Hospital, Porto, Portugal
  • Catarina Sousa Department of Pneumology, São João Hospital, Porto, Portugal
  • João Maciel Department of Cardiothoracic Surgery, São João Hospital, Porto, Portugal
  • Paulo Pinho Department of Cardiothoracic Surgery, São João Hospital, Porto, Portugal

DOI:

https://doi.org/10.48729/pjctvs.37

Keywords:

contraceptive implant, implanon, lung embolization

Abstract

A 31-year-old-woman with an etonogestrel implant on her left upper arm presented with unfavorable change in her menstrual bleeding pattern and requested for its removal. The non-palpable device was perceptible in the left hemithorax by radiography. Thoracic computed-tomography showed migration to a sublobar branch of the left lower pulmonary artery. Despite the absence of thoracic symptoms and the lack of management guidelines, the device was removed by a lung sparing approach with videoassisted thoracic surgery, due to the unknown long-term effect of the embolized implant.

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References

Kew EP, Senanayake E, Djearaman M, Bishay E. Migration of contraceptive implant into the left pulmonary arterial system. Asian Cardiovasc Thorac Ann. 2017 Sep-Oct; 25(7-8):537-539.

Pellegrino A, Damiani GR, Loverro M, Dell’Anna T, Pirovano C, Fachechi G. Distal migration of contraceptive device in a sub-segmental branch of the pulmonary artery. Eur J Obstet Gynecol Reprod Biol.2017; 215:260-261.

Kang S, Niak A, Gada N, Brinker A, Jones SC. Etonogestrel implant migration to the vasculature, chest wall, and distant body sites: cases from a pharmacovigilance database. Contraception. 2017 Dec; 96(6):439-445

Thomas PA, Di Stefano D, Couteau C, D’Journo XB. Contraceptive Implant Embolism Into the Pulmonary Artery: Thoracoscopic Retrieval. Ann Thorac Surg 2017 Mar; 103(3):e271-e272. Doi:10.1016/j.athoracsur.2016.08.094

D’Journo XB, Vincent Vidal V, Agostini A. Intravascular pulmonary migration of a subdermal contraceptive implant. Ann Thorac

Surg 2015; 99:1828

Ohannessian A, Levy A, Jaillant N, et al. A French survey of contraceptive implant migration to the pulmonary artery, Contraception, https://doi.org/10.1016/j.contraception.2019.05.016

Heudes PM, Laigle Querat V, Darnis E, Defrance C, Douane F, Frampas E. Migration of a contraceptive subcutaneous device into the pulmonary artery. Reportof a case. Case Rep Women's Health 2015 Sep 24;8:6–8.

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Published

17-04-2021

How to Cite

1.
Lopes S, Costa R, Sousa C, Maciel J, Pinho P. EMBOLIZATION OF IMPLANON DEVICES – LUNG SPARING VIDEOASSISTED THORACIC SURGERY. Rev Port Cir Cardiotorac Vasc [Internet]. 2021 Apr. 17 [cited 2024 May 22];27(3):221-2. Available from: https://pjctvs.com/index.php/journal/article/view/37

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Section

Clinical Cases

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