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Vascular and Endovascular Surgery
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Blunt Trauma Injury of the Caval Junction

A Case Treated with PTFE Patch Angioplasty

L. Cangiotti

Department of General Surgery I, University of Brescia

P. Muiesan

Department of General Surgery I, University of Brescia

R. Maffeis

Department of General Surgery I, University of Brescia

F. Nodari

Department of General Surgery I, University of Brescia

S.M. Giulini

Department of General Surgery I, University of Brescia

G. Tiberio

Department of Emergency Surgery, University of Milan, Italy

A case report of caval bifurcation injury associated with right common iliac artery throm bosis sustained after a blunt trauma to the abdomen is presented. Different problems are encountered in the management of this type of lesions. These are related to trans portation, resuscitation techniques, and diagnosis and, in the operating room, to an adequate exposure, control of hemorrhage, and vascular reconstruction. A repair of the caval junction has been performed successfully using a polytetrafluoroethylene patch, avoiding stenosis of the lumen, and restoring blood flow in the vena cava. No compli cations such as thromboembolism have been reported and patency has been verified at a four month follow-up.

Vascular and Endovascular Surgery, Vol. 28, No. 8, 563-569 (1994)
DOI: 10.1177/153857449402800809
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