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...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-05-01
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| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1152666/full |
| _version_ | 1797833058741649408 |
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| author | Donghwan Choi Dongmin Seo Hang Jun Choi Jonghwan Moon |
| author_facet | Donghwan Choi Dongmin Seo Hang Jun Choi Jonghwan Moon |
| author_sort | Donghwan Choi |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-04-09T14:17:38Z |
| format | Article |
| id | doaj.art-a6a9202c5a5f456b9274061eff969fe7 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-09T14:17:38Z |
| publishDate | 2023-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-a6a9202c5a5f456b9274061eff969fe72023-05-05T05:53:58ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-05-011010.3389/fsurg.2023.11526661152666Successful treatment of a blunt retrohepatic vena cava injury using an atriocaval shunt without sternotomy or thoracotomy: a case reportDonghwan ChoiDongmin SeoHang Jun ChoiJonghwan MoonRetrohepatic 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.https://www.frontiersin.org/articles/10.3389/fsurg.2023.1152666/fullblunt liver injuriesretrohepatic vena cava injury (RHIVC)total hepatic vascular isolationatriocaval shunttransdiaphragmatic incision |
| spellingShingle | Donghwan Choi Dongmin Seo Hang Jun Choi Jonghwan Moon Successful treatment of a blunt retrohepatic vena cava injury using an atriocaval shunt without sternotomy or thoracotomy: a case report Frontiers in Surgery blunt liver injuries retrohepatic vena cava injury (RHIVC) total hepatic vascular isolation atriocaval shunt transdiaphragmatic incision |
| 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 | blunt liver injuries retrohepatic vena cava injury (RHIVC) total hepatic vascular isolation atriocaval shunt transdiaphragmatic incision |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1152666/full |
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