Skip to main content
Log in

Successful surgical treatment of chronic inferior vena caval thrombosis following blunt trauma

  • CASE REPORT
  • Published:
General Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. 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

    Article  PubMed  Google Scholar 

  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

    PubMed  CAS  Google Scholar 

  3. 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

    PubMed  CAS  Google Scholar 

  4. 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

    PubMed  CAS  Google Scholar 

  5. 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

    PubMed  CAS  Google Scholar 

  6. 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

    Article  PubMed  CAS  Google Scholar 

  7. 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

    PubMed  CAS  Google Scholar 

  8. 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

    PubMed  CAS  Google Scholar 

  9. 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

    Article  PubMed  Google Scholar 

  10. 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

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Teruaki Ushijima MD.

Rights and permissions

Reprints and permissions

About this article

Cite this article

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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11748-007-0116-8

Key words

Navigation