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

Authors

Keywords:

vascular trauma, stab wound, humeral artery lesion, revascularization, saphenous vein graft.

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.

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Author Biographies

Osvaldo Valdés Dupeyrón, Unicersidad Técnica De Manabi. Ecuador, Hospital Verdi Cevallos Balda

Cirujano Vardiovascular Hospital Verdi Cevallos Balda, Profesor de Cardiología de la Universidad Técnica De Manabi. Miembro de la sociedad Cubana de Cardiología y Cirugía Cardiovascular.

Gino Kleiver Alvia Del Castillo, Hospital Verdi Cevallos

Especialista en Cirugía Torácica. Cirujano Torácico Hospital Verdi Cevallos, Titular de la asociación Argentina de Cirugía, Miembro de la sociedad argentina de cirugía Toracica, sociedad de Neumología de Manabi. Miembro de la asociación Latinoamericana de Tórax

Javier González Robles, Universidades Técnica de Manabi

Especialidades de primer grado en Medicina General Integral. Coordinador de la carrera de medicina Universitaria Técnica de Manabi

Josselyn Soraya Jalil Gorozabel, Universidad Técnica de Manabi

Interna de medicina de la Universidad Técnica de Manabi

Andrea Vanesa Bazurto Zambrano, Universidad Técnica de Manabi

Interna de Medicina de la Universidad Técnica de Manabi

Nicole Stephania Roldan Macias, Universidad Técnica de Manabi

Imterna de medicina de la Universidad Técnica de manabi

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Published

2021-01-01

How to Cite

1.
Valdés Dupeyrón O, Alvia Del Castillo GK, González Robles J, Jalil Gorozabel JS, Bazurto Zambrano AV, Roldan Macias NS. Revascularization of the humeral artery with a vein saphenous inverted in vascular trauma by stabbing. Rev Cubana Med Milit [Internet]. 2021 Jan. 1 [cited 2025 May 18];50(1):e0210722. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/722

Issue

Vol. 50 No. 1 (2021): January - March

Section

Case Presentation

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