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European Journal of Cardio-Thoracic Surgery, Vol 4, 675-677, Copyright © 1990 by European Association for Cardio-thoracic Surgery
M Zogno, G Danieli, A Pardini, C Fucci, M Ferrari, E Caradonna, M Vassalli and O Alfieri
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.
ARTICLES
Hepato-atrial anastomosis as emergency treatment for traumatic rupture of suprahepatic inferior vena cava and hepatic veins
Department of Cardiac Surgery, Hospital of Brescia, Italy.
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