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Interact Cardiovasc Thorac Surg · Jan 2011
Case ReportsSuccessful repair of injured hepatic veins and inferior vena cava following blunt traumatic injury, by using cardiopulmonary bypass and hypothermic circulatory arrest.
- Christodoulos Kaoutzanis, Erotokritos Evangelakis, Chrysostomos Kokkinos, and Gavriel Kaoutzanis.
- Department of Cardiovascular and Thoracic Surgery, Nicosia General Hospital, Nicosia, Cyprus. ckaoutzanis@gmail.com
- Interact Cardiovasc Thorac Surg. 2011 Jan 1;12(1):84-6.
AbstractTraumatic injury to the retrohepatic veins continues to carry high mortality rates. In the last few decades various management strategies have been proposed. However, treatment of such injuries still remains highly variable and technically challenging due to the surgically inaccessible location of these vessels and the consequent difficulty controlling bleeding. We report a successful repair of complete transection of the two main extraparenchymal hepatic veins and laceration of the retrohepatic inferior vena cava using cardiopulmonary bypass (CPB) and hypothermic circulatory arrest (HCA) following blunt abdominal trauma. Immediate CPB with or without HCA can be life-saving and should be considered for patients with complex isolated retrohepatic venous injuries.
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