Uso de balão intra-hepático para controle temporário da hemorragia em lesão da veia cava retro-hepática

Autor: João Eduardo Leal Nicoluzzi, Marlon Rangel, Luís Carlos VonBahten
Jazyk: English<br />Spanish; Castilian<br />Portuguese
Předmět:
Zdroj: Revista do Colégio Brasileiro de Cirurgiões, Vol 34, Iss 3, Pp 210-211
Druh dokumentu: article
ISSN: 1809-4546
0100-6991
DOI: 10.1590/S0100-69912007000300015
Popis: Juxtahepatic veins, retrohepatic vena cava or major hepatic veins injuries carry a very high mortality rate regardless the technique used for its repair. Isolated survivor reports have for the most part been managed by vascular isolation techniques, usually with atriocaval shunt. We report one case with a unique management technique in a patient who sustained gunshot wound to the retrohepatic vena cava. Hemorrhage control had been obtained by intrahepatic balloon tamponade after others maneuvers have failed. The balloon was left in situ for two days as damaged control laparotomy principles and planned reoperation has been chosen.
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