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Informative Article | Medical Surgical | Mexico | Volume 14 Issue 3, March 2025 | Rating: 4.6 / 10
Migration of Subdermal Implant to the Left Pulmonary Artery
Jose Rafael Sousa Flora, Hilberth Cristhian Lopez Mestas, Jorge Ernesto Radbruch Godinez, Andres Aguilar Arroyo, Maria Jose Ocejo Mendez, Hector Fabian Galvan Gutierrez, Cheryl Diaz Barrientos
Abstract: Subdermal contraceptive implants are usually inserted subdermally and carry the possibility to migrate within a small range, usually less than 2 cm from the insertion sites; significant migration over 2 cm is rare. This paper discusses the case of a 22 - year - old female patient with a migrated subdermal contraceptive implant in the left pulmonary artery. On chest computed tomography, roughly a 4 cm long linear hyperdensity foreign body in the left lower lobe was found and was identified as a migrated implanted in a subsegmental pulmonary artery branch. An interventional cardiologist attempted endovascular removal of the left pulmonary artery graft using the right common femoral vein as access, without success. Very few cases have been reported of complications with inserting and removing the subdermal contraceptive implants as it is considered a reasonably safe procedure in the hands of physicians familiar with the technique. Therefore, if a properly trained individual had carried out the correct procedure of inserting a subdermal implant, the migration of an implant over 2 cm should not occur.
Keywords: Cardiothoracic surgery, cardiology, foreign body migration, lung, contraceptive implant
Edition: Volume 14 Issue 3, March 2025,
Pages: 1406 - 1408