Nawaz Zaid, Gilbert Nicholas, Gontarz Brendan, Gifford Edward T, Divinagracia Thomas, Glotzer Owen
Department of Surgery, Howard University Hospital, Washington, DC.
Division of Vascular Surgery, Hartford Hospital, Hartford, CT.
J Vasc Surg Cases Innov Tech. 2025 May 16;11(4):101844. doi: 10.1016/j.jvscit.2025.101844. eCollection 2025 Aug.
A 61-year-old female with previous liver transplantation was volume overloaded, requiring intubation and veno-venous extracorporeal membrane oxygenation. Workup was significant for mitral valve stenosis, for which she underwent repair. This was complicated by injury to the inferior vena cava with avulsion from the liver, which was reconstructed with bovine pericardium. Postoperatively, hemodynamic monitoring suggested poor venous return. She was taken for a venogram, demonstrating stenosis of the suprahepatic inferior vena cava, which was treated with placement of a bare metal self-expanding stent. This case report demonstrates an endovascular salvage technique for suprahepatic inferior vena cava stenosis after reconstruction during cardiac surgery.
一名曾接受肝移植的61岁女性出现容量超负荷，需要插管并进行静脉-静脉体外膜肺氧合。检查发现二尖瓣狭窄，她因此接受了修复手术。手术并发症为下腔静脉从肝脏撕脱伤，用牛心包进行了重建。术后，血流动力学监测显示静脉回流不佳。她接受了静脉造影，显示肝上下腔静脉狭窄，通过植入裸金属自膨式支架进行了治疗。本病例报告展示了一种心脏手术重建后肝上下腔静脉狭窄的血管内挽救技术。
