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Successful treatment of a blunt retrohepatic vena cava injury using an atriocaval shunt without sternotomy or thoracotomy: a case report

Retrohepatic vena cava (RHIVC) injury is often fatal and can be very difficult to manage. Total hepatic vascular isolation, a shunt, or bypass surgery is required for the surgical treatment of RHIVC injury in hemodynamically unstable patients; however, these are not easy procedures. Here, we present...

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Autores principales: Choi, Donghwan, Seo, Dongmin, Choi, Hang Jun, Moon, Jonghwan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10196270/
https://www.ncbi.nlm.nih.gov/pubmed/37215353
http://dx.doi.org/10.3389/fsurg.2023.1152666
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author Choi, Donghwan
Seo, Dongmin
Choi, Hang Jun
Moon, Jonghwan
author_facet Choi, Donghwan
Seo, Dongmin
Choi, Hang Jun
Moon, Jonghwan
author_sort Choi, Donghwan
collection PubMed
description Retrohepatic vena cava (RHIVC) injury is often fatal and can be very difficult to manage. Total hepatic vascular isolation, a shunt, or bypass surgery is required for the surgical treatment of RHIVC injury in hemodynamically unstable patients; however, these are not easy procedures. Here, we present a case of RHIVC injury that was successfully treated by atriocaval shunt placement via a transdiaphragmatic incision without sternotomy or thoracotomy. In addition, we review the resuscitation and surgical procedures used for total hepatic vascular isolation in patients with RHIVC injury.
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spelling pubmed-101962702023-05-20 Successful treatment of a blunt retrohepatic vena cava injury using an atriocaval shunt without sternotomy or thoracotomy: a case report Choi, Donghwan Seo, Dongmin Choi, Hang Jun Moon, Jonghwan Front Surg Surgery Retrohepatic vena cava (RHIVC) injury is often fatal and can be very difficult to manage. Total hepatic vascular isolation, a shunt, or bypass surgery is required for the surgical treatment of RHIVC injury in hemodynamically unstable patients; however, these are not easy procedures. Here, we present a case of RHIVC injury that was successfully treated by atriocaval shunt placement via a transdiaphragmatic incision without sternotomy or thoracotomy. In addition, we review the resuscitation and surgical procedures used for total hepatic vascular isolation in patients with RHIVC injury. Frontiers Media S.A. 2023-05-05 /pmc/articles/PMC10196270/ /pubmed/37215353 http://dx.doi.org/10.3389/fsurg.2023.1152666 Text en © 2023 Choi, Seo, Choi and Moon. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Choi, Donghwan
Seo, Dongmin
Choi, Hang Jun
Moon, Jonghwan
Successful treatment of a blunt retrohepatic vena cava injury using an atriocaval shunt without sternotomy or thoracotomy: a case report
title Successful treatment of a blunt retrohepatic vena cava injury using an atriocaval shunt without sternotomy or thoracotomy: a case report
title_full Successful treatment of a blunt retrohepatic vena cava injury using an atriocaval shunt without sternotomy or thoracotomy: a case report
title_fullStr Successful treatment of a blunt retrohepatic vena cava injury using an atriocaval shunt without sternotomy or thoracotomy: a case report
title_full_unstemmed Successful treatment of a blunt retrohepatic vena cava injury using an atriocaval shunt without sternotomy or thoracotomy: a case report
title_short Successful treatment of a blunt retrohepatic vena cava injury using an atriocaval shunt without sternotomy or thoracotomy: a case report
title_sort successful treatment of a blunt retrohepatic vena cava injury using an atriocaval shunt without sternotomy or thoracotomy: a case report
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10196270/
https://www.ncbi.nlm.nih.gov/pubmed/37215353
http://dx.doi.org/10.3389/fsurg.2023.1152666
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