[Traumatic lesions of the supra-hepaticocaval veins or lessons from failure. Apropos of 5 cases].

Strategic therapeutic principles in 5 cases of injury to supra-hepaticocaval veins were based on vascular exclusion of liver prior to any approach to the lesion. An approach to the intrapericardial inferior vena cava by sternotomy is proposed together with the use of an endocaval shunt introduced through the atrium.