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Traumatic rupture of the infrarenal inferior vena cava: Successful emergency reconstructin with polytetrafluoroethylene graft
並列摘要
Introduction: Great vessel and cardiac chamber injuries may occur during accidents, open heart surgery or during operations in aorta. Control of bleeding in such cases is a surgical challenge. Case Report: Herein, we report a case of a 33-year-old patient who developed severe hypovolemic shock following blunt trauma to the right flank. The patient showed a large collection of intra-abdominal blood on CT scan and underwent an emergency laparotomy. In addition to complete rupture of the right kidney, a 7-cm long rupture of the infrarenal vena cava (IVC) was demonstrated. During surgery, after clamping of the IVC and subsequent improvement of hemodynamic parameters, vascular surgeons chose to reconstruct the IVC with polytetrafluoroethylene graft. The patient was discharged home on postoperative day-12. Four years after surgery, there was radiological evidence of blood flow in the IVC, with a functional prosthetic graft. Conclusion: Salvage of patient with rupture of vena cava is very rare considering the fact that a majority of patients die before coming to the hospital. Emergency polytetrafluoroethylene graft repair of the inferior vena cava might be successful, with excellent long-term functional results.
延伸閱讀
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