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Sequential aortic and inferior vena caval clamping for control of suprarenal vena caval injuries: case report
The Journal of Trauma
|February 1, 1977
Insights
A child with a severe abdominal gunshot wound underwent successful surgical repair using aortic and vena cava clamping. The patient recovered fully one year post-procedure, demonstrating the efficacy of this critical care technique.
Area of Science:
- Trauma surgery
- Pediatric surgery
- Vascular repair
Background:
- Massive upper abdominal injuries pose significant surgical challenges.
- Gunshot wounds in children require specialized and rapid intervention.
- Hemodynamic instability is a major concern in severe abdominal trauma.
Observation:
- A pediatric patient sustained a massive upper abdominal injury from a gunshot wound.
- The injury necessitated complex surgical repair.
- Sequential clamping of the aorta and inferior vena cava was employed.
Findings:
- The surgical technique involved sequential clamping of the aorta at the diaphragmatic hiatus and the inferior vena cava within the pericardium.
- This stabilization method facilitated further necessary repairs.
- The patient achieved apparent full recovery one year post-operation.
Implications:
- This case highlights a successful approach to managing life-threatening pediatric abdominal trauma.
- The described clamping technique offers a viable strategy for stabilizing patients during complex vascular repairs in pediatric trauma.
- Effective surgical management can lead to long-term positive outcomes in critically injured children.
Abstract:
A successful repair of a massive upper abdominal injury from a gunshot wound in a child is presented. The technique of sequentially clamping the aorta at the diaphragmatic hiatus and the inferior vena cava within the pericardium stabilized the patient for further repairs. This patient is apparently recovered, 1 year after the procedure.