alexa Use of a Hybrid Open and Endovascular Approach to Succe
ISSN: 2329-6925

Journal of Vascular Medicine & Surgery
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Case Report

Use of a Hybrid Open and Endovascular Approach to Successfully Repair a Traumatic Retrohepatic Inferior Vena Cava Injury

Yan Shi1, Matthew J Wall Jr2 and Ramyar Gilani3*

1Division of Vascular Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, USA

2Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, USA

3Division of Vascular Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, USA

*Corresponding Author:
Ramyar Gilani
Division of Vascular Surgery
Michael E. DeBakey Department of Surgery
Baylor College of Medicine, One Baylor Plaza
MS 390, Houston, TX 77030, USA
Tel: 2405065230
E-mail: [email protected]

Received Date: July 21, 2014; Accepted Date: August 03, 2014; Published Date: August 15, 2014

Citation: Shi Y, Wall Jr MJ, Gilani R (2014) Use of a Hybrid Open and Endovascular Approach to Successfully Repair a Traumatic Retrohepatic Inferior Vena Cava Injury. J Vasc Med Surg 2:147. doi: 10.4172/2329-6925.1000147

Copyright: © 2014 Shi Y, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Purpose: To describe a damage control open and endovascular approach that successfully repaired a catastrophic retrohepatic injury to the inferior vena cava (IVC).
Case Report: A 25-year-old man presented with two gunshot wounds to the trunk. During open operative exploration, a penetrating injury to the IVC behind the caudate lobe of the liver was encountered. To quickly control hemorrhage, en-mass ligation of the injured area and surrounding tissues was performed which resulted in significant IVC stenosis at the level of the repair. After resuscitation in the intensive care unit, the patient was brought back to the operating room where inline flow through the IVC was reestablished by bridging the defect using a 20mm x 55mm covered stent graft.
Conclusions: As endovascular expertise and devices become more refined and readily available to treat trauma, variations of this hybrid technique have the potential to become powerful tools to repair retrohepatic IVC injuries.

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