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Ann Thorac Surg 2011;92:1510-1512. doi:10.1016/j.athoracsur.2011.03.125
© 2011 The Society of Thoracic Surgeons
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Case Reports

Repair of Lacerated Intrapericardial Inferior Vena Cava After Cardiac Massage

Ichiro Kashima, MD*, Yoshihiko Mochizuki, MD, Masahiko Okamoto, MD

Department of Cardiovascular Surgery, Ashikaga Red Cross Hospital, Ashikaga, Tochigi, Japan

Accepted for publication March 25, 2011.

* Address correspondence to Dr Kashima, Department of Cardiovascular Surgery, Ashikaga Red Cross Hospital, 3-2100, Honjyo, Ashikaga, Tochigi, 326-0808 Japan (Email: i.kashima{at}ashikaga.jrc.or.jp).

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.






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