Abstract
Posttraumatic inferior vena cava (IVC) thrombosis is extremely rare. We report a case of surgical treatment for chronic inferior vena caval thrombosis 4 years after blunt trauma. A 22-year-old man was referred to our hospital for investigation of an inferior vena caval thrombosis. He had a history of blunt abdominal trauma at age 18 while dismantling a medium truck and had undergone pancreaticojejunostomy for a pancreatic laceration. Computed tomography (CT) scans revealed an inferior vena caval thrombosis extending into the right atrium. Lung perfusion scintigraphy was unremarkable. We performed thrombectomy through a median sternotomy under deep hypothermic circulatory arrest, which gave adequate visualization in a bloodless field. A fiberscope was used intraoperatively for detailed IVC inspection. Postoperative recovery was uneventful, and he was discharged on the 14th postoperative day. Postoperative CT and echocardiography showed no recurrence of the thrombosis.
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H Fujii H Ohashi Y Tsutsumi M Onaka (2002) ArticleTitleOpen heart surgery for posttraumatic inferior vena caval thrombosis Eur J Cardiothorac Surg 22 319–20 Occurrence Handle12142211 Occurrence Handle10.1016/S1010-7940(02)00276-2
T Kimoto H Kohno M Uchida A Yamanoi A Yamamoto N Nagasue et al. (1998) ArticleTitleInferior vena caval thrombosis after traumatic liver injury HPB Surg 11 111–6 Occurrence Handle9893241 Occurrence Handle1:STN:280:DyaK1M7gvFWiuw%3D%3D
S Kuki S Taketani R Matsumura A Okuda T Yamaguchi K Yoshikawa et al. (1995) ArticleTitleAcute Budd-Chiari syndrome due to inferior vena cava occlusion following blunt trauma Thorac Cardiovasc Surg 43 227–9 Occurrence Handle7502290 Occurrence Handle1:STN:280:DyaK28%2FptVOrtA%3D%3D
NH Patel B Bradshaw MH Meissner MF Townsend (1996) ArticleTitlePosttraumatic Budd-Chiari syndrome treated with thrombolytic therapy and angioplasty J Trauma 40 294–8 Occurrence Handle8637083 Occurrence Handle1:STN:280:DyaK283jtF2lsg%3D%3D
M Takeuchi K Maruyama M Nakamura H Chikusa T Yoshida M Muneyuki et al. (1995) ArticleTitlePosttraumatic inferior vena caval thrombosis: case report and review of the literature J Trauma 39 605–8 Occurrence Handle7473935 Occurrence Handle1:STN:280:DyaK28%2Fit1Wjtw%3D%3D
MM Knudson JA Collins SB Goodman DW McCrory (1992) ArticleTitleThromboembolism following multiple trauma J Trauma 32 2–11 Occurrence Handle1732568 Occurrence Handle1:STN:280:DyaK387it1egtQ%3D%3D Occurrence Handle10.1097/00005373-199201000-00002
KK Nagy B Duarte (1990) ArticleTitlePost-traumatic inferior vena caval thrombosis: case report J Trauma 30 218–21 Occurrence Handle2304119 Occurrence Handle1:STN:280:DyaK3c7ls1Cltg%3D%3D
DN Campbell RD Liechty RB Rutherford (1981) ArticleTitleTraumatic thrombosis of the inferior vena cava J Trauma 21 413–5 Occurrence Handle7230292 Occurrence Handle1:STN:280:DyaL3M7psVymtQ%3D%3D
MM Knudson DG Ikossi L Khaw D Morabito LS Speetzen (2004) ArticleTitleThromboembolism after trauma: an analysis of 1602 episodes from the American College of Surgeons National Trauma Data Bank Ann Surg 240 490–6 Occurrence Handle15319720 Occurrence Handle10.1097/01.sla.0000137138.40116.6c
EE Frezza CP Valenziano (1997) ArticleTitleBlunt traumatic avulsion of the inferior vena cava: case report J Trauma 42 141–3 Occurrence Handle9003274 Occurrence Handle1:STN:280:DyaK2s7ls1yqsQ%3D%3D Occurrence Handle10.1097/00005373-199701000-00026
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Ushijima, T., Yachi, T. & Nishida, Y. Successful surgical treatment of chronic inferior vena caval thrombosis following blunt trauma. Gen Thorac Cardiovasc Surg 55, 255–258 (2007). https://doi.org/10.1007/s11748-007-0116-8
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DOI: https://doi.org/10.1007/s11748-007-0116-8