Citation

Tochii M, Sugimura S, Iriyama T, Hattori Y, Watanabe K, Negi K, Takeda I, Kano H, Sugimura H. Kyobu Geka 2000; 53(2): 145-147.

Affiliation

Fujita Health University Scholl of Medicine, Toyoake, Japan.

Copyright

(Copyright © 2000, Nankodo)

DOI

unavailable

PMID

10667027

Abstract

Blunt rupture of the intrapericardial inferior vena cava is rare. Our experience in recent two cases is presented. Case 1: A 52-year-old male was admitted following a traffic accident. Chest CT demonstrated cardiac tamponade and mediastinal hematoma. Ruptures of the right and left atria across the caudal aspect of the atrial septum, and a separate laceration of intrapericardial IVC were found in the emergency operation. Case 2: A 35-year-old male jumped from the fourth floor of a building. Chest CT revealed descending aortic rupture and the patient was taken to surgery. He died of massive hemorrhage from the aortic rupture. Exploration revealed a rupture of intrapericardial IVC. Recent literatures were reviewed and the mechanism of IVC rupture is discussed.

Language: ja