[HSF] Occluded SVC

[Donald Ross]

Hal,
Does your assistant have a strong arm? Or do you use a self retaining  
retractor?
Don
> Nasser,
>   I couldn't tell exactly where the lacerations were located on  
> the  IVC and
> SVC.  In both vessels, the bleeding was directly posterior.  I   
> controlled
> both with horizontal mattress pledgetted 4-0 Prolenes.  Though I   
> didn't realize
> it at the time of surgery, I must have narrowed the SVC with the   
> repair.
> Inserting the pacing leads a few days later probably occluded the   
> SVC lumen
> sufficiently to precipitate thrombosis.
>
> Hal
>
>
>
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