[Disobstruction of the inferior vena cava under extracorporeal circulation].
An original technique used to remove obstructions of the inferior vena cava under cardiopulmonary bypass is described. This technique is indicated in pulmonary embolectomy or to dispose of a vena cava clot prolapsed into the right cardiac cavities. Through a rigid and blunt thoracic drain introduced via the right atrium, a Fogarthy venous catheter is pushed into the inferior vena cava, thus avoiding the risks of accidental passage into the supra-hepatic or renal veins and blockage in a thebesian valve. The catheter is inflated, then removed together with the drain, thereby freeing the caval lumen. The technique is reliable and reproducible, and it has proved very effective.
D002404:Catheterization / Q000295:instrumentation; D005112:Extracorporeal Circulation; D006801:Humans; D013927:Thrombosis / Q000601:surgery*; D014682:Vena Cava, Inferior / Q000601:surgery*
Désobstruction cave inférieure sous circulation extra-corporelle.