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ISSN 1561-3046 (Electronic)

2021, Number 1

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Rev Cub Med Mil 2021; 50 (1)

Revascularization of the humeral artery with a vein saphenous inverted in vascular trauma by stabbing

Valdés DO, Alvia CGK, González RJ, Jalil GJS, Bazurto ZAV, Roldan MNS

Language: Spanish
References: 11
Page:
PDF size: 298.01 Kb.


ABSTRACT

Introduction: The vascular traumatisms of the limbs are very frequent at present. When these injuries do not receive the required care they can evolve to serious complications, which includes the loss of the limb or death.
Objective: To describe the brachial artery repair technique using the saphenous vein in a case with brachial artery trauma with vascular compromise.
Clinical case: 37-year-old patient with a history of psychiatric illness, with a diagnosis of a stab wound with vascular compromise in the left forearm of four hours of evolution. On admission, he was unstable, hypovolemic shock, with cyanotic limb and absence of distal pulses. Intravenous antibiotics, crystalloid solution and blood were indicated. The patient was transferred to the surgery and a total section of the brachial artery was found. The revascularization technique was performed with an inverted saphenous vein graft. The patient evolved favorably and was discharged on the third day. Eleven months later, Doppler ultrasound was performed and good graft patency was confirmed.
Conclusions: The inverted saphenous vein revascularization technique contributed satisfactorily to the survival and quality of life of the treated case.


REFERENCES

  1. Jiménez HC, Romero E, Medina R, Botache W, Sanjuán J, Martínez C, et al. Caracterización de trauma arterial periférico en un hospital de tercer nivel. Rev Colomb Cirugía. 2018[acceso: 26/12/2019];33(3):272-9. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S2011-75822018000300272&lng=en

  2. Espinoza E, Castañeda E. Características clínicas de los traumas vasculares periféricos en pacientes atendidos en un hospital general de Lima, Perú. Rev Medica Hered. 2014 [acceso: 26/12/2019];25(3):122. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1018-130X2014000300003

  3. Ortega AA. Experiencias en el diagnóstico y tratamiento del trauma vascular. Rev Cuba Med Mil. 2017 [acceso: 26/12/2019];46(1):28-38. Disponible en: http://www.revmedmilitar.sld.cu/index.php/mil/article/view/3/38

  4. Brunet Pedroso P. Heridas vasculares. Rev Cubana Med Milit. 1999 [acceso: 06/05/2020];28(2):135-42 Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65571999000200008

  5. Schwartz BS, Paryavi E, Eglseder WA, Pensy RA, Abzug JM. Brachial Artery Transection After a Closed Traumatic Isolated Medial Epicondyle Fracture in a Pediatric Patient: A Case Report. Hand. 2017[acceso: 26/12/2019];12(5):NP127-31. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/28381125

  6. Wolfswinkel EM, Weathers WM, Siy RW, Horowitz KS, Hollier LH. Less is more in the nonoperative management of complete brachial artery transection after supracondylar humeral fracture. Ann Vasc Surg. 2014 [acceso: 26/12/2019];28(3):739.e11-739.e16. Disponible en: https://www.sciencedirect.com/science/article/pii/S0890509613004731

  7. Feliciano DV. Pitfalls in the management of peripheral vascular injuries. Trauma Surgery and Acute Care Open. 2017 [acceso: 26/12/2019];2(1):1-8. Disponible en: https://tsaco.bmj.com/content/2/1/e000110.full

  8. Harnarayan P, Cawich SO, Harnanan D, Budhooram S. Brachial artery injury accompanying closed elbow dislocations. Int J Surg Case Rep. 2015 [acceso: 26/12/2019]; 8:100-2. Disponible en: https://doi.org/10.1016/j.ijscr.2014.12.009

  9. Pastor G, Rivera M, Marzo A, Marco M. Traumatismos vasculares de los miembros. Diagnóstico y tratamiento actual. Angiología. 2007 [acceso: 26/12/2019];59(2):39-52. Disponible en: https://www.elsevier.es/en-revista-angiologia-294-articulo-traumatismos-vasculares-los-miembros-diagnostico-13189588

  10. Myers SI, Harward TRS, Maher DP, Melissinos EG, Lowry PA. Complex upper extremity vascular trauma in an urban population. J Vasc Surg. 1990 [acceso: 26/12/2019];12(3):305-9. Disponible en: https://www.elsevier.es/index.php?p=revista&pRevista=pdf-simple

  11. Cotman SJ, Trinh TQ, Vincent S, Backes JR. Proximal humerus fracture-dislocation with laceration of axillary artery: a case report. Iowa Orthop J. 2017 [acceso: 26/12/2019];37:53-5. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5508261/




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