VENOVENOUS BYPASS TOR MAJOR HEPATIC AND CAVAL TRAUMA

Severe trauma to the liver and juxtahepatic cava require vascular isol ation of the lesion. In addition to the techniques of vascular clampin g and atriocaval shunting, venovenous bypass is a viable alternative t o repair such injuries. We herein report its use in five consecutive p atients. The technique obviates the hemodynamic sequelae of uncompensa ted caval occlusion and the technical dangers of atriocaval shunting.