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Published in: Langenbeck's Archives of Surgery 2/2011

01-02-2011 | Case Management & Clinical Consequences

Reconstruction of a total avulsion of the hepatic veins and the suprahepatic inferior vena cava secondary to blunt thoracoabdominal trauma

Authors: Daniel Kaemmerer, Wolfgang Daffner, Martin Niwa, Thomas Kuntze, Merten Hommann

Published in: Langenbeck's Archives of Surgery | Issue 2/2011

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Abstract

Introduction

Blunt injury to the inferior vena cava is a rare but dramatic event having a high mortality up to 80%. The mortality increases after total avulsion especially in combination with secondary intra-abdominal injuries.

Case report

We report on a 15-year-old boy who sustained a blunt trauma with a total, partially covered avulsion of the hepatic veins and the suprahepatic inferior vena cava.

Discussion

We treated the patient under internal bypassing of the retrohepatic vena cava by using the heart–lung machine and reconstructed the hepatic veins and suprahepatic vena cava with a conduit made of pericard.
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Metadata
Title
Reconstruction of a total avulsion of the hepatic veins and the suprahepatic inferior vena cava secondary to blunt thoracoabdominal trauma
Authors
Daniel Kaemmerer
Wolfgang Daffner
Martin Niwa
Thomas Kuntze
Merten Hommann
Publication date
01-02-2011
Publisher
Springer-Verlag
Published in
Langenbeck's Archives of Surgery / Issue 2/2011
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI
https://doi.org/10.1007/s00423-010-0652-z

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