Severe Juxtahepatic Venous Injury: Survival after Prolonged Hepatic Vascular Isolation Without Shunting
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Survival following major juxtahepatic venous injury is rare in blunt liver trauma despite the use of intracaval shunting. Prolonged liver arterial inflow control, total hepatic venous isolation and lobectomy without shunting was used in a patient to repair a combined vena caval and hepatic venous injury after blunt liver injury. An extended period of normothermic hepatic ischemia was tolerated. Early recognition of retrohepatic venous injury and temporary liver packing to control bleeding and correct hypovolemia are essential before caval occlusion. Hepatic vascular isolation without shunting is an effective simple alternative technique allowing major venous repair in complex liver trauma.
2009 ◽
Vol 36
(1)
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pp. 70-72
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2006 ◽
Vol 16
(3)
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pp. 205-208
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2000 ◽
Vol 16
(6)
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pp. 261-261
2015 ◽
Vol 127
(23-24)
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pp. 954-958
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2002 ◽
Vol 37
(9)
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pp. 1287-1292
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2010 ◽
Vol 75
(3)
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pp. e105-e109
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