Successful salvage of inferior vena cava rupture during reoperative repair for ascending aortic aneurysm.
A 44-year-old man underwent reoperative repair for ascending aortic aneurysm at our hospital. He had received aortic valve replacement due to severe aortic regurgitation 4 years previously. The cardiopulmonary bypass was set up through the femoral arterial and venous cannula. An unusual experience of rupture of the abdominal inferior vena cava was encountered after total-body retrograde perfusion. The tragic situation was successfully salvaged by recannulation into the intrapericardial inferior vena cava and repair of the several perforations on abdominal inferior vena cava. The patient recovered smoothly except for mild pancreatitis. The causes of rupture of the inferior vena cava are discussed here.
Chen
Chien-Chang
CC
Department of Surgery, Division of Cardiovascular Surgery, Taichung Veterans General Hospital, Taichung, Taiwan, ROC.
Hsieh
Shih-Rong
SR
D000328:Adult; D001011:Aorta / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000601:surgery*; D001783:Blood Flow Velocity / Q000502:physiology; D019917:Blood Vessel Prosthesis Implantation; D002315:Cardiopulmonary Bypass / Q000009:adverse effects* / Q000295:instrumentation; D006324:Heart Arrest, Induced; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007084:Iliac Vein / Q000293:injuries / Q000601:surgery; D007431:Intraoperative Complications / Q000209:etiology / Q000601:surgery; D008297:Male; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D012307:Risk Factors; D012421:Rupture / Q000209:etiology / Q000601:surgery; D014682:Vena Cava, Inferior / Q000293:injuries* / Q000601:surgery