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Training a Sophisticated Microsurgical Technique: Interposition of External Jugular Vein Graft in the Common Carotid Artery in Rats
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Delayed presentation of complete arterial transection treated with interposition graft: A case report
Gregory R Stettler1, Cenea Kemp1, Franklin Wright1
1Department of Surgery, University of Colorado, Denver, United States of America.
Trauma Case Reports
|December 7, 2018
Summary
Delayed brachial artery transection after trauma is rare but treatable. Prompt evaluation of subtle signs is crucial for limb salvage and function preservation in vascular injury cases.
Area of Science:
- Trauma Surgery
- Vascular Surgery
- Emergency Medicine
Background:
- Traumatic arterial injuries can lead to significant morbidity if not promptly treated.
- Vascular injuries are typically identified early through patient symptoms or clinical signs.
- Delayed repair opportunities for vascular trauma are uncommon due to rapid onset of irreversible ischemia.
Observation:
- A rare case of delayed presentation of a complete brachial artery transection from penetrating trauma is described.
- The patient lacked classic "hard signs" of vascular injury, necessitating further investigation based on trajectory, symptoms, and pulse examination.
- Successful surgical intervention involved reverse saphenous vein interposition grafting.
Findings:
- The surgical repair restored normal blood flow to the affected extremity.
- Limb function was preserved following the intervention.
- This case highlights a delayed presentation of arterial transection, an infrequent occurrence.
Implications:
- Clinicians must maintain a high index of suspicion for arterial injuries in patients with limb trauma presenting with delayed or subacute symptoms.
- Subtle findings, such as worsening pain or altered physical exam, warrant thorough vascular evaluation.
- Early and accurate diagnosis of vascular trauma is essential for optimal patient outcomes and limb salvage.
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