Thrombectomy under Cardiopulmonary Bypass for Inferior Vena Cava Thrombosis Induced by Liver Injury

Inferior vena cava thrombosis (IVCT) caused by liver injury is a rare and challenging condition. A 32-year-old man sustained a severe liver injury in a traffic accident. Emergent thromboembolic procedure for the affected hepatic arteries was performed for hemostasis, resulting in hemodynamic stabili...

Full description

Saved in:
Bibliographic Details
Published inAnnals of Vascular Diseases Vol. 6; no. 4; pp. 751 - 755
Main Authors Hamamoto, Masaki, Kobayashi, Taira, Kodama, Hiroshi, Nakamitsu, Atsushi, Sasaki, Masaru, Kuroo, Yuta
Format Journal Article
LanguageEnglish
Published Japan The Editorial Committee of Annals of Vascular Diseases 01.01.2013
Subjects
Case Report
inferior vena cava
liver injury
thrombectomy
inferior vena cava
liver injury
thrombectomy
Online AccessGet full text

Cover

More Information
Summary:Inferior vena cava thrombosis (IVCT) caused by liver injury is a rare and challenging condition. A 32-year-old man sustained a severe liver injury in a traffic accident. Emergent thromboembolic procedure for the affected hepatic arteries was performed for hemostasis, resulting in hemodynamic stabilization of the patient. One month later, however, CT showed liver congestion caused by IVCT from the suprahepatic IVC to the bilateral common iliac veins. As liver function deteriorated quickly despite heparin administration, surgical thrombectomy was performed under hypothermic circulatory arrest through sternotomy and laparotomy. After this operation, the liver was decongested and its function improved rapidly.
Bibliography:E-mail: cardiovascsurgeon@gmail.com
ISSN:1881-641X
1881-6428
DOI:10.3400/avd.cr.13-00075