Inferior vena cava tear during posterior spinal fusion surgery.
Inferior vena cava tear is a rare but potentially lethal event associated with spinal surgery. Early recognition and repair are mandatory to minimize morbidity and mortality. Here we report a case of inferior vena cava tear which occurred during posterior spinal fusion surgery. Without marked bleeding from the surgical field, the patient was suddenly seized with a profound shock. Abdominal distension was found after resumption of the supine position from prone. Emergent exploratory laparotomy disclosed inferior vena cava tear. After repairing of the torn vessel, the patient was transferred to ICU. Unfortunately, patient expired two weeks later due to multiple-organ failure.
Wang
Yu-Ren
YR
Department of Anesthesiology, Kaohsiung Veterans General Hospital, School of Medicine, National Yang-Ming University, Taiwan, R.O.C.
Liu
Yen-Chin
YC
Chung
Nien-Chun
NC
Wu
Su-Zhen
SZ
Chen
Ming-Shan
MS
Ye
Xuan-De
XD
Liu
Kang
K
D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008875:Middle Aged; D013123:Spinal Fusion / Q000009:adverse effects*; D014682:Vena Cava, Inferior / Q000293:injuries*