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Case Report
 
Traumatic rupture of the infrarenal inferior vena cava: Successful emergency reconstruction with polytetrafluoroethylene graft
Elmi Olluri1, Burim Ukeperaj1, Jusuf Taner1, Lulzim Emini1, Preveza Abrashit1
1Prishtina University Hospital.

Article ID: 100002CRINTEO2013
doi:10.5348/crint-2013-2-CR-1

Address correspondence to:
Elmi Olluri
Resident of Vascular Surgery
Univerzitu Clinical Center of Prishtina
Kosovo
Phone: + 37744354136
Email: burim.dr@gmail.com

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How to cite this article:
Olluri E, Ukeperaj B, Taner J, Emini L, Abrashit P. Traumatic rupture of the infrarenal inferior vena cava: Successful emergency reconstruction with polytetrafluoroethylene graft. Case Reports International 2012;1:5–8.


Abstract
Introduction: Great vessel and cardiac chamber injuries may occur during accidents, open heart surgery or during operations in aorta. Control of bleeding in such cases is a surgical challenge.
Case Report: Herein, we report a case of a 33-year-old patient who developed severe hypovolemic shock following blunt trauma to the right flank. The patient showed a large collection of intra-abdominal blood on CT scan and underwent an emergency laparotomy. In addition to complete rupture of the right kidney, a 7-cm long rupture of the infrarenal vena cava (IVC) was demonstrated. During surgery, after clamping of the IVC and subsequent improvement of hemodynamic parameters, vascular surgeons chose to reconstruct the IVC with polytetrafluoroethylene graft. The patient was discharged home on postoperative day-12. Four years after surgery, there was radiological evidence of blood flow in the IVC, with a functional prosthetic graft.
Conclusion: Salvage of patient with rupture of vena cava is very rare considering the fact that a majoirty of patients die before coming to the hospital. Emergency polytetrafluoroethylene graft repair of the inferior vena cava might be successful, with excellent long-term functional results.

Keywords: Trauma, Inferior vena cava (IVC), Emergency surgery, Reconstruction, Vascular graft


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Author Contributions
Elmi Olluri – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Burim Ukeperaj – Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Jusuf Taner – Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Lulzim Emini – Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Preveza Abrashit – Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© Elmi Olluri et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)



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