Successful balloon dilatation for postoperative caval stenosis caused by primary venorrhaphy for traumatic retro-hepatic caval injury in a three-year-old child: Report of a case

被引：0

作者：

Masui, Daisuke ^{[1
]}

Iinuma, Yasushi ^{[1
]}

Hirayama, Yutaka ^{[1
]}

Nitta, Kohju ^{[1
]}

Iida, Hisataka ^{[1
]}

Otani, Tetsuya ^{[2
]}

Yokoyama, Naoyuki ^{[2
]}

Sato, Seiichi ^{[3
]}

Numano, Fujito ^{[3
]}

Yagi, Minoru ^{[4
]}

机构：

[1] Niigata City Gen Hosp, Dept Pediat Surg, Niigata, Japan

[2] Niigata City Gen Hosp, Dept Digest Surg, Niigata, Japan

[3] Niigata City Gen Hosp, Dept Pediat, Niigata, Japan

[4] Kurume Univ, Sch Med, Niigata City Gen Hosp, Dept Pediat Surg,Chuo Ku, Niigata 9501197, Japan

来源：

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2015年 / 46卷 / 09期

关键词：

Paediatric; Inferior vena cava injury; Blunt trauma; Balloon dilatation; INFERIOR VENA-CAVA; BUDD-CHIARI-SYNDROME; BLUNT LIVER TRAUMA; VENOUS INJURY; LIGATION; MANAGEMENT; SURVIVAL; REPAIR;

D O I：

10.1016/j.injury.2015.03.032

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Inferior vena cava injuries are highly lethal. We experienced a case of retrohepatic inferior vena cava injury as a result of blunt trauma in a three-year-old female. Because the site of bleeding of the IVC was identified, we repaired it with running sutures. An attempt at primary repair resulted in postoperative narrowing of the vena cava. There was pressure gradient of the right atrium and inferior vena cava, and collateral circulation developed. Since it was also found that the haemodynamics was unstable, the child underwent another intervention before the stenosis of the IVC was fixed. To the best of our knowledge, there have been no previous reports of therapeutic radiological intervention for stenosis that developed after treatment of a traumatic IVC injury. The IVC in the present case recovered enough patency so that the collateral venous flow could be decreased after balloon dilatation angioplasty. (C) 2015 Elsevier Ltd. All rights reserved.

引用

页码：1860 / 1864

页数：5