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Eur J Cardiothorac Surg · Dec 2013
Case ReportsSynergy between stents and extracorporeal membrane oxygenation in multitrauma patients with inferior vena cava injury.
- Sara Filippini, Olivier Desebbe, Delphine Gamondes, and Roland Henaine.
- Department of Cardiac Surgery, Louis Pradel Hospital, Hospices Civils de Lyon (HCL), Bron, France.
- Eur J Cardiothorac Surg. 2013 Dec 1;44(6):1140-2.
AbstractDespite the lack of evidence in the literature, we report the case of a 25-year-old man involved in a road traffic accident, who had an inferior vena cava (IVC) injury and severe lung contusion with parenchymal bleeding requiring an extracorporeal membrane oxygenation (ECMO). An emergency procedure to implant a stent graft was successful in repairing the IVC injury. Moreover, we think that ECMO, in addition to providing oxygenation, reduced bleeding by creating a negative pressure along the injured IVC. The patient was decannulated on the eighth day and discharged 31 days after the accident.
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