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CASE REPORT
Year : 2008  |  Volume : 52  |  Issue : 5  |  Page : 569

Successful Resuscitation in Accidental Complete Transection of Superior Vena Cava During Right Pleuropneumonectomy


1 Consultant, Department of Anaesthesiology, Jaslok Hospital and Research Centre, India
2 Registrar, Department of Anaesthesiology, Jaslok Hospital and Research Centre, India

Correspondence Address:
Rajashree Agaskar
Department of Anaesthesiology, Jaslok Hospital and Research Centre, 15 Dr. G. Deshmukh Marg, Mumbai 400 026, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


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This is a case report of complete transection of superior vena cava (SVC) during right pleuropn­eumonectomy leading to circulatory collapse and loss of venous access. Access was reestablished by imm­ediate cannulation of saphenous vein in the lower extremity. The patient was resuscitated with intravenous (IV) vasopressin followed by volume replacement. The patient tolerated 40 min of simple SVC clamping in spite of associated severe hypotension.


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