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Charles Henri Marty-Ané
Jean Pierre Meunier
Jacques R. Séguin
Henri Mary
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Ann Thorac Surg 1995;59:997-998
© 1995 The Society of Thoracic Surgeons

Case Reports

Use of Active Shunt for Surgical Repair of Intrapericardial Inferior Vena Caval Injury

Eric Picard, MD, Charles Henri Marty-Ané, MD, Jean Pierre Meunier, MD, Jean Marc Frapier, MD, Jacques R. Séguin, MD, Henri Mary, MD, Paul André Chaptal, MD

Thoracic and Cardiovascular Unit and Thoracic and Vascular Unit, Centre Hospitalier Universitaire, Hôpital Arnaud de Villeneuve, Montpellier, France

Accepted for publication July 28, 1994.

We report a case of intrapericardial inferior vena caval disruption due to goring by a bull, and we describe the surgical repair of this uncommon penetrating cardiac injury. Review of the literature indicates that, as with other penetrating cardiac injuries, this rare lesion requires aggressive treatment involving an emergency thoracotomy. The use of an atrial caval active shunt was necessary for successful surgical management, and therefore we conclude that surgical treatment of this lesion is comparable with surgical repair of hepatic veins and retrohepatic vena caval injuries incurred during blunt vascular trauma or penetrating abdominal injuries.






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Copyright © 1995 by The Society of Thoracic Surgeons.