title: Inferior vena cava endograft to control surgically inaccessible hemorrhage.
abstract: Open surgical repair of retrohepatic inferior vena cava (IVC) injuries can be technically difficult, usually requiring extensive hepatic mobilization and associated with significant morbidity. We report a case of uncontrolled hemorrhage from the retrohepatic inferior vena cava (IVC), which occurred during attempted resection of a large retroperitoneal leiomyosarcoma, and was successfully managed using an endoluminal stent-graft. This case demonstrates that endoluminal grafts can be successfully applied to control life-threatening hemorrhage arising from lesions in the retrohepatic IVC that are otherwise extremely difficult or inaccessible to direct surgical repair.
authors.affiliation: Division of Vascular Surgery, Loyola University Medical Center, 2160 1st Avenue, Maywood, IL 60153, USA.
authors.forename: Victor Z
authors.initials: VZ
authors.lastname: Erzurum
authors.forename: Margo
authors.initials: M
authors.lastname: Shoup
authors.forename: Marc
authors.initials: M
authors.lastname: Borge
authors.forename: Peter G
authors.initials: PG
authors.lastname: Kalman
authors.forename: Heron
authors.initials: H
authors.lastname: Rodriguez
authors.forename: Geoffrey M
authors.initials: GM
authors.lastname: Silver
mesh_terms: D000328:Adult; D017130:Angioplasty; D016063:Blood Loss, Surgical; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D015607:Stents; D014682:Vena Cava, Inferior / Q000293:injuries* / Q000601:surgery