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Case Reports
. 2021 Sep 10:36:100535.
doi: 10.1016/j.tcr.2021.100535. eCollection 2021 Dec.

Traumatic Suprahepatic inferior vena cava injury survival of a rare case

Douglas A Rooke  1 , Christopher R Burke  2 , Eileen M Bulger  3 , Erik Van Eaton  3 , Koichiro Nandate  1
Affiliations
Case Reports

Traumatic Suprahepatic inferior vena cava injury survival of a rare case

Douglas A Rooke et al. Trauma Case Rep. .

Erratum in

Abstract

Traumatic supra-hepatic inferior vena cava (IVC) injury is rare and nearly universally fatal. We report an excellent outcome from a case involving severe injury of the suprahepatic and intra-pericardial IVC utilizing emergency cardiopulmonary bypass (CPB) with deep hypothermic circulatory arrest. The goal of this case report is to outline key factors that facilitated the patient's survival of extensive IVC injury. We conclude that aggressive prehospital fluid resuscitation, facile transfer to the operating room, early detection of anatomy and pathology of the injury, an early decision to call for perfusion and cardiothoracic surgery, and prompt blood transfusion were the key factors that allowed for the patient to survive without deficits.

Keywords: 1:1:1 blood transfusion ratio; Early decision for emergency cardiopulmonary bypass with deep hypothermic circulatory arrest; Prehospital aggressive fluid resuscitation; Traumatic supra-hepatic inferior vena cava injury.

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Figures

Fig. 1
Fig. 1
View of injury at start of cardiopulmonary bypass (CPB).
Fig. 2
Fig. 2
Defining and exposing the extent of the inferior vena cava (IVC) injury on CPB.
Fig. 3
Fig. 3
Installation of the Dacron tube graft portion.
See this image and copyright information in PMC

References

    1. Kudsk K., Bongard F., Lim R., Jr. Determinants of survival after vena caval injury. analysis of a 14-year experience. Arch. Surg. 1984;119(9):1009–1012. (3) - PubMed
    1. Huerta S., Bui T.D., Nguyen T.H., Banimahd F.N., Porral D., Dolich M.O. Predictors of mortality and management of patients with traumatic inferior vena cava injuries. Am. Surg. 2006;72(4):290–296. - PubMed
    1. Rosengart M.R., Smith D.R., Melton S.M. Prognostic factors in patients with inferior vena cava injuries. Am. Surg. 1999;65:849–855. - PubMed
    1. Burch J.M. Injuries of the inferior vena cava. Am. J. Surg. 1988;156:548–552. - PubMed
    1. Kuehne J., Frankhouse J., Modrall G., Golshani S. Determinants of survival after inferior vena cava trauma. Am. Surg. 1999;65(10):976. - PubMed

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