体外循环下取栓术治疗肝损伤所致下腔静脉血栓形成
Thrombectomy under Cardiopulmonary Bypass for Inferior Vena Cava Thrombosis Induced by Liver Injury.
作者信息
Hamamoto Masaki, Kobayashi Taira, Kodama Hiroshi, Nakamitsu Atsushi, Sasaki Masaru, Kuroo Yuta
机构信息
Department of Cardiovascular Surgery, JA Hiroshima General Hospital, Hatsukaichi, Hiroshima, Japan.
Department of Surgery, JA Hiroshima General Hospital, Hatsukaichi, Hiroshima, Japan.
出版信息
Ann Vasc Dis. 2013;6(4):751-5. doi: 10.3400/avd.cr.13-00075. Epub 2013 Nov 15.
Inferior vena cava thrombosis (IVCT) caused by liver injury is a rare and challenging condition. A 32-year-old man sustained a severe liver injury in a traffic accident. Emergent thromboembolic procedure for the affected hepatic arteries was performed for hemostasis, resulting in hemodynamic stabilization of the patient. One month later, however, computed tomography (CT) showed liver congestion caused by IVCT from the suprahepatic IVC to the bilateral common iliac veins. As liver function deteriorated quickly despite heparin administration, surgical thrombectomy was performed under hypothermic circulatory arrest through sternotomy and laparotomy. After this operation, the liver was decongested and its function improved rapidly.
肝损伤所致下腔静脉血栓形成（IVCT）是一种罕见且具有挑战性的病症。一名32岁男性在交通事故中遭受严重肝损伤。对受影响的肝动脉进行了紧急血栓栓塞手术以止血，从而使患者血流动力学稳定。然而，一个月后，计算机断层扫描（CT）显示存在从肝上下腔静脉至双侧髂总静脉的IVCT导致的肝脏充血。尽管给予了肝素治疗，但肝功能仍迅速恶化，遂通过胸骨切开术和剖腹术在低温循环停止下进行了手术取栓。该手术后，肝脏充血缓解，其功能迅速改善。
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