Preliminary communication
Major Defect to the Brachial Artery Following Blunt Trauma – A Five Year Follow-up
Roman Pavić
Abstract
A 29-year-old soldier was injured when a collapsible side of an army truck fell on his left upper arm creating lesion to
the brachial artery with a defect in the artery of about 10 cm in length. Injury to one brachial vein, of the same length,
was also sustained without bone or neural injury. Intraoperative Doppler ultrasonography was performed. A reverse
autologous saphenous vein interposition graft with a circumference similar to that of the injured brachial artery was
used to perform end-to-end anastomosis between artery and reversed vein graft. The patient returned to his military formation
16 days post operatively, with a return to full military calisthenics routine 2 months after injury. Surgical and
Doppler ultrasonography control was kept regularly. Excellent late result revascularization of the injured brachial artery
with reversed interposition vein graft can be seen in CT angiography five years after injury.
Keywords
brachial artery defect; reversed interposition vein graft; anastomosis
Hrčak ID:
64785
URI
Publication date:
7.3.2011.
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