[Cavo-suprahepatic lesions in severe hepatic injuries. Repair under extracorporeal circulation]

Liver injuries always have a sombre prognosis. Triple or quadruple clamping has been suggested to control haemorrhages, but the risk of the heart running dry has warranted internal shunts which have only been successful in odd cases. The severity of these lesions justifies a temporary packing pending admission in specialized unit for subsequent treatment. A final treatment may be undertaken under extracorporeal circulation. In the case reported here, the superior right hepatic vein was sutured and the holes of the infrahepatic vena cava related to the tearing of middle and inferior right hepatic veins or the dorsal veins of segment I could be repaired. Rupture of the renal pelvis was also repaired.