Work

Open fixation of a migrated aortic covered endograft for the management of a traumatic retrohepatic inferior vena cava injury with cardiopulmonary bypass

Year: 2025

Type: article

Abstract: We report a case of a gunshot wound retrohepatic inferior vena cava injury treated with an aortic endograft that subsequently migrated into the right atrium, which was successfully treated with right atrial opening and stent fixation under cardiopulmonary bypass. This case highlights the potential utility of off-label aortic endografts in managing complex retrohepatic inferior vena cava injuries as a highly effective alternative to the historically morbid atriocaval Schrock shunt. The high location of the injury, near the right atrium, underscores the technical difficulty and need for multidisciplinary collaboration to achieve a successful outcome.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2025.102030

Authors: Jay N. Patel, Danny Nguyen, Muhammad S. Ghauri, Aldin Malkoc, Elias Wassel, Samuel Schwartz

Institutions: California University of Science and Medicine, Arrowhead Regional Medical Center

Language: English

Topic: Vascular Procedures and Complications

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,250