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

Abstract

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.

Repair of right sided Traumatic Diaphragmatic Hernia with intrathoracic herniation of liver and a segment of ruptured jejunum—a case report and review of literature

“…Ushijima et al (2007) [13] had reported the use of CPB with total circulatory arrest and Taga et al [14] reported veno-venous bypass for repairing hepatic vein and caval trauma. Although there was no such vascular injury, we believe any such injury with TDH involving high migration of liver need to be dealt in units which has provision of CPB.…”

Post traumatic inferior vena cava thrombosis: A case report and review of literature

“…Only few cases have been reported so far in the literature [2], [3], [4], [5], [6], [7], [8], [9], [10], [11], [12], [13], [14], [15], [16], [17], [18], [19] (Table 1). It has been attributed to transmural laceration of the vena cava secondary to crushing forces, with formation of a pericaval or a retroperitoneal hematoma compressing and narrowing the vena cava to such an extent that venous stasis develops.…”

Right sided traumatic diaphragmatic hernia repair with intrathoracic herniation of liver, stomach and transverse colon

“…2) but having no injury to the biliary tree, hepatic artery, IVC hepatic vein junction. Ushijima et al (2007) [13] had reported the use of CPB with total circulatory arrest and Taga et al [14] reported veno-venous bypass for repairing the hepatic vein and caval trauma. Although there was no such vascular injury, we believe any such injury with TDH involving high migration of the liver need to be dealt in units which has provision of CPB.…”