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Repair of the Inferior Vena Cava With Autogenous Peritoneo-Fascial Patch Graft Following Abdominal Trauma: A Case Report

Cardiovascular Surgery Department, Kocaterpe University

Cevdet Ugur Kocogullari, MD

Cardiovascular Surgery Department, Kocaterpe University

Sezgin Yilmaz, MD

General Surgery Department The Faculty of Medicine, Kocatepe University, Ahmet Necdet Sezer Research and Education Hospital zmir Yolu, Afyonkarahisar,Turkey

Ahmet Cekirdekci, MD

Cardiovascular Surgery Department, Kocaterpe University

Abdominal vascular injuries are among the most challenging and lethal injuries in traumatized patients. Inferior vena cava is the most frequently injured vein during the blunt or penetrating trauma. The primary repair, end to end anastomosis, endovascular stenting, or graft interposition with autogenous or synthetic materials should be considered in selected cases. However, in cases the synthetic graft was preferred, intestinal contaminations due to small or large bowel perforation accompanying the trauma have been cited as a limiting factor for the use of such grafts as in the current case. However, a previous history of lower leg variceal surgery prevents the use of great saphenous vein as a graft. So in the present case, the authors report a patient with inferior vena cava injury repaired with autogenous peritoneo-fascial graft. The authors have used APF graft in traumatic inferior vena cava injury for the first time.

Key Words: trauma • injury • inferior vena cava • repair • autogenous peritoneo-fascial graft

Vascular and Endovascular Surgery, Vol. 42, No. 3, 272-275 (2008)
DOI: 10.1177/1538574407311604


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