[Two Cases of Large Gynecological Tumor Complicated by Preoperative Deep Vein Thromboembolism and Pulmonary Thromboembolism-Should We Use Inferior Vena Cava Filters ?-].

Abstract

We experienced two cases of large gynecological tumor resection with co-existing deep vein thrombo- embolism (VTE) and pulmonary thromboembolism (PTE). Despite perioperative anticoagulation, one of the two patients developed dyspnea with massive PTE postoperatively, although the other patient did not have any postoperative complications. To prevent fatal mas- sive PTE, temporary inferior vena cava (IVC) filter might have been effective during perioperative period in these cases. Since there are wide variations among institutes regarding the perioperative application of temporary IVC filters for patients with co-existing VTE and/or PTE before surgery, guidelines or recom- mendations for appropriate usage of perioperative IVC filter are necessary.