Blunt intrapericardial superior vena cava injury – A trap for the unwary

Right atrial rupture after road traffic accident

“…6 Various techniques have been used to control bleeding from SVC and right atrium injury, inflow occlusion, side biting clamps, vascular shunts, cardiopulmonary bypass and even circulatory arrest depending on the extent and nature of injury. 7 Cardiac chamber injuries can be repaired by simple suture with or without the use of pledgets using vascular clamps (inflow occlusion technique for right atrium). Small tears can be repaired primarily without Case of mesenteric ischaemia secondary to triple occlusive arterial disease in a patient with protein C deficiency and radiation-induced vascular insufficiency…”