Title

Atrial Caval Shunting in Blunt Hepatic Vascular Injury.

Publication/Presentation Date

3-1-1987

Abstract

Of 51 patients with major blunt hepatic trauma treated at a Level I trauma center, 29 patients (56.8%) survived. Nine of the 51 patients required insertion of the atrial caval shunt, as indicated by uncontrollable hemorrhage due to disruption of the perihepatic veins. Eight of these nine patients sustained injury to the hepatic veins or the retrohepatic vena cava. Of the eight patients with hepatic vascular injury, four (50.0%) were long-term survivors. In hepatic trauma patients with suspected hepatic vascular injury, aggressive use of the shunt can control hemorrhage before the onset of coagulopathy or hypothermia.

Volume

205

Issue

3

First Page

318

Last Page

321

ISSN

0003-4932

Disciplines

Other Medical Specialties | Surgery

PubMedID

3827365

Department(s)

Department of Surgery, Department of Surgery Faculty

Document Type

Article