title: Repair of lacerated intrapericardial inferior vena cava after cardiac massage.
abstract: We successfully undertook surgical treatment of intrapericardial laceration of the inferior vena cava caused by external cardiac massage in a patient with acute coronary syndrome. Injury to the inferior vena cava without blunt trauma is very rare, and diagnostic imaging does not show it clearly, making it difficult to diagnose. Rapid and accurate judgment and management are necessary, because the mortality due to this injury is very high.
authors.affiliation: Department of Cardiovascular Surgery, Ashikaga Red Cross Hospital, Ashikaga, Tochigi, Japan. i.kashima@ashikaga.jrc.or.jp
authors.forename: Ichiro
authors.initials: I
authors.lastname: Kashima
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Mochizuki
authors.forename: Masahiko
authors.initials: M
authors.lastname: Okamoto
mesh_terms: D054058:Acute Coronary Syndrome / Q000628:therapy*; D000368:Aged; D003937:Diagnosis, Differential; D004452:Echocardiography; D005500:Follow-Up Studies; D006336:Heart Massage / Q000009:adverse effects*; D006801:Humans; D022125:Lacerations / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D010490:Pericardial Effusion / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D010496:Pericardium; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures / Q000379:methods*; D014682:Vena Cava, Inferior / Q000293:injuries* / Q000601:surgery