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European Journal of Cardio-Thoracic Surgery, Vol 4, 675-677, Copyright © 1990 by European Association for Cardio-thoracic Surgery


ARTICLES

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 and O Alfieri
Department of Cardiac Surgery, Hospital of Brescia, Italy.

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.


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Copyright © 1990 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.