Thrombectomy under Cardiopulmonary Bypass for Inferior Vena Cava Thrombosis Induced by Liver Injury
| Autor: | Atsushi Nakamitsu, Masaki Hamamoto, Yuta Kuroo, Hiroshi Kodama, Taira Kobayashi, Masaru Sasaki |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Liver injury
medicine.medical_specialty business.industry medicine.medical_treatment Hemodynamics Case Report General Medicine medicine.disease Inferior vena cava Surgery law.invention medicine.vein law Laparotomy Hemostasis Circulatory system medicine Cardiopulmonary bypass cardiovascular system Liver function business |
| Popis: | Inferior vena cava thrombosis (IVCT) caused by liver injury is a rare and challenging condition. A 32-year-old man sustained a severe liver injury in a traffic accident. Emergent thromboembolic procedure for the affected hepatic arteries was performed for hemostasis, resulting in hemodynamic stabilization of the patient. One month later, however, computed tomography (CT) showed liver congestion caused by IVCT from the suprahepatic IVC to the bilateral common iliac veins. As liver function deteriorated quickly despite heparin administration, surgical thrombectomy was performed under hypothermic circulatory arrest through sternotomy and laparotomy. After this operation, the liver was decongested and its function improved rapidly. |
| Databáze: | OpenAIRE |
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