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....

1992 Use of inferior vena caval (IVC) filters has proliferated. In 1979, ≈2000 vena caval filters were inserted. In 1999, the number of IVC filters inserted annually had increased ≈25fold to 49 000. Retrievable IVC filters were first approved in 2003 and gained popularity rapidly. By 2006, retrievable IVC filters accounted for about half of all IVC filters that were inserted. The largest propor...

BACKGROUND The diagnosis of sinus venosus defects remains a matter of debate. It is crucial to provide solid anatomical criteria, by identifying the very nature of the atrial septum relative to sinus venosus defects, to diagnose and differentiate them from other interatrial communications. OBJECTIVE This study was designed to reestablish the anatomical criteria for the diagnosis of sinus veno...

Twenty patients with superior vena caval obstruction (SVCO) due to malignancy were managed using the Gianturco Z stent. Three patients had adjunctive thrombolysis. The primary clinical success was 90% (18120 patients). Thirteen patients were free of SVCO to death or follow-up without re-intervention (primary patency= 65%). Three patients had re-intervention for recurrent symptoms, two successfu...

0.8 mg./kg., was given. Of the 10 patients treated, four were completely relieved, five were partially relieved, and only one showed no response. The speed of response varied from one to 10 days. Symptomatic improvement was notable. The duration of relief varied from four weeks to eight months. Recurrence of superior vena caval obstruction needing further treatment was seen in two of these pati...

Background Knowledge of caval contribution to flow in the Right and Left Pulmonary Artery (RPA and LPA) of Fontan patients is of great interest, because uneven flow distribution to the lungs is associated with pulmonary arteriovenous malformations. However, in Fontan circulation more than 1 source of flow to the RPA and LPA is present, which makes difficult to quantify the flow distribution wit...

Thrombosis of the inferior vena cava is less common than deep venous thrombosis of the lower extremities, particularly in the absence of an obvious congenital caval abnormality or hypercoagulable state. We present a case of IVC thrombosis in an otherwise healthy and active 28-year-old male soldier secondary to dehydration and venous webbing. IVC thrombosis is an uncommon and underrecognized con...