ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Surgical approach for the treatment of inferior vena cava injuries
Bekir İnan1, Ünal Aydın2, Kerem Erkalp3, Tahsin Yaşar1, Halil Başel2
1Bezmiâlem Vakıf Üniversitesi Tıp Fakültesi Hastanesi Kalp ve Damar Cerrahi Anabilim Dalı, İstanbul
2Van Yüksek İhtisas Eğitim ve Araştırma Hastanesi Kalp ve Damar Cerrahi Kliniği, Van
3Bezmiâlem Vakıf Üniversitesi Tıp Fakültesi Hastanesi Anesteziyoloji ve Reanimasyon Anabilim Dalı, İstanbul
DOI : 10.5606/tgkdc.dergisi.2011.046
Background: In this study, surgical treatments performed by using autologous materials and other methods along with their results of these treatments were investigated.

Methods: Twenty-two patients ( 18 males, 4 females; mean age 34.2 years; range 24 to 61 years) who had undergone surgery with the diagnosis of inferior vena cava (IVC) injury in our clinic between May 2002 and July 2008, were analyzed. The surgical procedures and their results were retrospectively evaluated. The injuries were classified as penetrating traumas (n=17, 77%), blunt traumas (n=3, 13%), and gunshot injuries (n=2, 9%). Emergent laparotomy was performed for all patients. The surgical procedures performed included four methods: primary venoraphy (n=15, 68%), prosthetic graft interposition (n=1, 4%), repair with autogenous vein graft (n=4, 18%), and ligation (n=2, 9%).

Results: Of the 22 patients, only one patient died as a of consequence of hemodynamic instability in perioperative period. Reoperation was performed in six patients in the postoperative period. The mean duration of intensive care unit stay was 3.1±1.9 days, and the mean duration of hospital stay was 26.5 days. The patients were evaluated with Doppler ultrasonography in the postoperative period.

Conclusion: Inferior vena cava injuries caused by traumas can lead to life-threatening clinical pictures. The treatment method should be determined according to the pathological features and the degree of urgency of the case, and the use of synthetic materials should be avoided as much as possible.

Keywords : Retrospective analysis; surgical treatment; vena cava injury
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