scholarly journals Limb salvage after delayed arterial repair in compound Grade III C fracture humerus: a case report

Author(s):  
Dhurvas Ramlal Ramprasath ◽  
Major K. Kamalanathan ◽  
K. S. Maheswaran ◽  
Mohan Prasad Muthsamy

<p>A combination of brachial artery injury and fracture shaft of humerus is a rare phenomenon. There is a general apprehension regarding survival of a limb after vascular injury. Only few studies exist in literature that discuss about the survival of such limbs. Our case is a 56 years old female patient who presented three hours after sustaining injury in the form of fracture shaft of humerus and complete transection of brachial artery distal to the origin of profunda brachii. Even though Doppler USG done initially revealed flow in the vessels distal to the injury, a CT Angiogram done later revealed cutting of the brachial artery. This prompted us to perform brachial artery exploration and repair. post operatively, digital subtraction angiography showed absence of flow in the brachial artery but limb survived due to extensive collateral circulation. Even after the golden period of vascular repair has lapsed, arterial repair is recommended if there is no evidence of gangrene. This should be supplemented with adequate systemic anticoagulants and/or fasciotomy.</p>

Vascular ◽  
2011 ◽  
Vol 21 (1) ◽  
pp. 27-30 ◽  
Author(s):  
Yunus Nazli ◽  
Necmettin Colak ◽  
Ismail Uras ◽  
Mahmut Komurcu ◽  
Omer Cakir

Although acute elbow dislocations are common orthopedic injuries, concomitant neurovascular injury is rare. Brachial artery transection can result from open elbow dislocation and responds well to vascular repair. Rapid evaluation and a high level of suspicion are essential to facilitate immediate treatment. Delay to identify vascular injury after elbow dislocation or reduction can potentially lead to limb ischemia, and potential loss of limb. We present a case of relatively rare transection of the brachial artery, with an accompanying traumatic open elbow dislocation in a 12-year-old boy.


1999 ◽  
Vol 41 (1) ◽  
pp. 79 ◽  
Author(s):  
Young Sun Kim ◽  
Seok Chol Jeon ◽  
Won Jin Moon ◽  
Yo Won Choi ◽  
Heung Suk Seo ◽  
...  

2014 ◽  
Vol 5 (11) ◽  
pp. 717
Author(s):  
Sugna Choudhary ◽  
Leena Raichandani ◽  
Sushma K. Kataria ◽  
Surbhi Raichandani ◽  
Pushpa Potaliya

2016 ◽  
Vol 9 (4) ◽  
pp. 335-337 ◽  
Author(s):  
Menachem Gold

A 29-year-old man arrived in our emergency department after being shot on the face. Computed tomography (CT) revealed multiple facial bone fractures along the bullet trajectory. On day 10 of admission, CT angiogram of the neck revealed a partially thrombosed pseudoaneurysm in the parapharyngeal fat pad. The pseudoaneurysm was successfully treated with coil embolization. This report discusses diagnosis and treatment of a partially thrombosed internal maxillary artery pseudoaneurysm. Although digital subtraction angiography is the gold standard for pseudoaneurysm diagnosis, CT angiography may provide complimentary information, as seen in this case.


2021 ◽  
Vol 14 (6) ◽  
pp. e241735
Author(s):  
Mikkel Schou Andersen ◽  
Willy Krone ◽  
Sune Munthe

Vertebral arteriovenous fistula (vAVF) is an uncommon vascular disease defined as abnormal connections between the vertebral artery or its branches extracranially with nearby venous structures. This case report outlines the case of a man in his late 70s presenting with C1–C3 fractures after a mild trauma falling down a small staircase. CT angiogram (CTA) gave suspicion of vertebral artery dissection and pseudoaneurysm; however, digital subtraction angiography revealed a fracture-induced vAVF successfully treated endovascularly with coils. In conclusion, cervical fractures involving the transverse foramen regardless of trauma mechanism should result in a CTA. Endovascular treatment with ipsilateral vertebral artery closure is preferred due to its feasibility and safety.


EJVES Extra ◽  
2003 ◽  
Vol 6 (2) ◽  
pp. 43-45
Author(s):  
Y. Périquet ◽  
I. Aleksic ◽  
P. Feugier ◽  
L. Lemoine ◽  
J.-M. Chevalier

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