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Ann Thorac Surg 2004;77:715-718
© 2004 The Society of Thoracic Surgeons

Case report

Successful salvage of inferior vena cava rupture during reoperative repair for ascending aortic aneurysm

Chien-Chang Chen, MDa, Shih-Rong Hsieh, MDa*

a Department of Surgery, Division of Cardiovascular Surgery, Taichung Veterans General Hospital, Taichung, Taiwan, ROC

Accepted for publication April 8, 2003.

* Address reprint requests to Dr Hsieh, Section of Cardiovascular Surgery, Department of Surgery, Taichung Veterans General Hospital, 160, Section 3, Taichung-Kang Road, Taichung, Taiwan, ROC
e-mail: season{at}mail.vghtc.gov.tw

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.






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