Hepato-atrial anastomosis as emergency treatment for traumatic rupture of suprahepatic inferior vena cava and hepatic veins

M. Zogno, G. Danieli, A. Pardini, C. Fucci, M. Ferrari, E. Caradonna, M. Vassalli, O. Alfieri

Research output: Contribution to journalArticlepeer-review

Abstract

The case of a 21-year-old patient operated on as an emergency for traumatic rupture of the suprahepatic inferior vena cava (IVC) and hepatic vein (HVs) is presented. Since anatomic reconstruction of the ruptured vessels was considered unfeasible, a direct anastomosis was instituted between the right atrium and the liver capsule around the disrupted IVC and HVs, using extracorporeal circulation, deep hypothermia and circulatory arrest. Hemorrhage was easily controlled and the patient survived. As far as we know, this operation, originally developed for the treatment of the Budd-Chiari syndrome, has never been used before as a life saving procedure under the circumstances described.

Original languageEnglish
Pages (from-to)675-677
Number of pages3
JournalEuropean Journal of Cardio-thoracic Surgery
Volume4
Issue number12
Publication statusPublished - 1990

Keywords

  • Hepatic vein rupture
  • Hepatoatrial anastomosis
  • Liver injuries
  • Vena cava rupture

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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