Successful surgical treatment of chronic inferior vena caval thrombosis following blunt trauma

被引：7

作者：

Ushijima T. ^{[1
]}

Yachi T. ^{[1
]}

Nishida Y. ^{[1
]}

机构：

[1] Department of Cardiovascular Surgery, Maizuru Mutual Hospital, Maizuru, Kyoto 625-8585

来源：

General Thoracic and Cardiovascular Surgery | 2007年 / 55卷 / 6期

关键词：

Circulatory arrest; Inferior vena caval thrombosis; Surgical treatment; Trauma;

D O I：

10.1007/s11748-007-0116-8

中图分类号：

学科分类号：

摘要：

Posttraumatic inferior vena cava (IVC) thrombosis is extremely rare. We report a case of surgical treatment for chronic inferior vena caval thrombosis 4 years after blunt trauma. A 22-year-old man was referred to our hospital for investigation of an inferior vena caval thrombosis. He had a history of blunt abdominal trauma at age 18 while dismantling a medium truck and had undergone pancreaticojejunostomy for a pancreatic laceration. Computed tomography (CT) scans revealed an inferior vena caval thrombosis extending into the right atrium. Lung perfusion scintigraphy was unremarkable. We performed thrombectomy through a median sternotomy under deep hypothermic circulatory arrest, which gave adequate visualization in a bloodless field. A fiberscope was used intraoperatively for detailed IVC inspection. Postoperative recovery was uneventful, and he was discharged on the 14th postoperative day. Postoperative CT and echocardiography showed no recurrence of the thrombosis. © 2007 The Japanese Association for Thoracic Surgery.

引用

页码：255 / 258

页数：3

共 10 条

[1]

Fujii H., Ohashi H., Tsutsumi Y., Onaka M., Open heart surgery for posttraumatic inferior vena caval thrombosis, Eur J Cardiothorac Surg, 22, pp. 319-20, (2002)

[2]

Kimoto T., Kohno H., Uchida M., Yamanoi A., Yamamoto A., Nagasue N., Et al., Inferior vena caval thrombosis after traumatic liver injury, HPB Surg, 11, pp. 111-6, (1998)

[3]

Kuki S., Taketani S., Matsumura R., Okuda A., Yamaguchi T., Yoshikawa K., Et al., Acute Budd-Chiari syndrome due to inferior vena cava occlusion following blunt trauma, Thorac Cardiovasc Surg, 43, pp. 227-9, (1995)

[4]

Patel N.H., Bradshaw B., Meissner M.H., Townsend M.F., Posttraumatic Budd-Chiari syndrome treated with thrombolytic therapy and angioplasty, J Trauma, 40, pp. 294-8, (1996)

[5]

Takeuchi M., Maruyama K., Nakamura M., Chikusa H., Yoshida T., Muneyuki M., Et al., Posttraumatic inferior vena caval thrombosis: Case report and review of the literature, J Trauma, 39, pp. 605-8, (1995)

[6]

Knudson M.M., Collins J.A., Goodman S.B., McCrory D.W., Thromboembolism following multiple trauma, J Trauma, 32, pp. 2-11, (1992)

[7]

Nagy K.K., Duarte B., Post-traumatic inferior vena caval thrombosis: Case report, J Trauma, 30, pp. 218-21, (1990)

[8]

Campbell D.N., Liechty R.D., Rutherford R.B., Traumatic thrombosis of the inferior vena cava, J Trauma, 21, pp. 413-5, (1981)

[9]

Knudson M.M., Ikossi D.G., Khaw L., Morabito D., Speetzen L.S., Thromboembolism after trauma: An analysis of 1602 episodes from the American College of Surgeons National Trauma Data Bank, Ann Surg, 240, pp. 490-6, (2004)

[10]

Frezza E.E., Valenziano C.P., Blunt traumatic avulsion of the inferior vena cava: Case report, J Trauma, 42, pp. 141-3, (1997)

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