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Lookup NU author(s): Sandra Robinson,
Professor Derek Manas
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).
Injuries to the retrohepatic vena cava are extremely rare and are associated with an operative mortality of up to 50% even in high volume trauma centres. We present a patient with such an injury who underwent successful repair using cardiopulmonary bypass and deep hypothermic circulatory arrest. A 23 year old male was transferred to our unit following laparotomy with packing of the abdomen after uncontrolled haemorrhage from the retrohepatic vena cava was experienced. The patient was placed on full cardiopulmonary bypass and cooled to 20 8C before clamping of the supracoeliac aorta and inferior vena cava. This facilitated exposure of the retrohepatic cava and allowed successful primary repair of a 5 cm laceration. Other techniques to allow repair of these injuries, such as atriocaval shunts and total vascular exclusion of the liver, are associated with a high mortality. We believe the technique described in this case report is an alternative strategy that can be used successfully to manage life threatening from the retrohepatic vena cava. © 2014 The Authors.
Author(s): Robinson SM, Wilson CH, Clark SC, Manas DM
Publication type: Article
Publication status: Published
Journal: Injury Extra
Print publication date: 01/07/2014
Online publication date: 04/04/2014
Acceptance date: 19/03/2014
Date deposited: 25/08/2017
ISSN (print): 1572-3461
Publisher: Elsevier Ltd
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