<p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</p> <p>Survival following major juxtahepatic venous injury is rare in blunt liver trauma despite the use of
intracaval shunting. Prolonged liver arterial inflow control, total hepatic venous isolation and lobectomy
without shunting was used in a patient to repair a combined vena caval and hepatic venous injury after
blunt liver injury. An extended period of normothermic hepatic ischemia was tolerated. Early
recognition of retrohepatic venous injury and temporary liver packing to control bleeding and correct
hypovolemia are essential before caval occlusion. Hepatic vascular isolation without shunting is an
effective simple alternative technique allowing major venous repair in complex liver trauma.</p>
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HPB Surg. 1990; 3(1):39-45