Thrombectomy under Cardiopulmonary Bypass for Inferior Vena Cava Thrombosis Induced by Liver Injury

Inferior vena cava thrombosis (IVCT) caused by liver injury is a rare
and challenging condition. A 32-year-old man sustained a severe liver
injury in a traffic accident. Emergent thromboembolic procedure for the
affected hepatic arteries was performed for hemostasis, resulting in
hemodynamic stabilization of the patient. One month later, however,
computed tomography (CT) showed liver congestion caused by IVCT from the
suprahepatic IVC to the bilateral common iliac veins. As liver function
deteriorated quickly despite heparin administration, surgical
thrombectomy was performed under hypothermic circulatory arrest through
sternotomy and laparotomy. After this operation, the liver was
decongested and its function improved rapidly.