Major Defect to the Brachial Artery Following Blunt Trauma – A Five Year Follow-upReportar como inadecuado

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Collegium antropologicum, Vol.35 No.1 March 2011. -

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.

brachial artery defect; reversed interposition vein graft; anastomosis

Autor: Roman Pavić -



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