A rare case of traumatic brachial artery injury
DOI:
https://doi.org/10.18203/2349-2902.isj20151116Keywords:
Brachial artery injury, Angiography, Vascular surgical proceduresAbstract
A relatively large proportion of peripheral arterial injuries are constituted by traumatic brachial artery injuries. Injuries to the arteries of the upper extremity and have the potential to significantly impact the outcome of the trauma patient. We report a case of 26 yr. old male patient with two glass-cut wounds in his right upper extremity, one in the arm and another in forearm. The patient presented with history of pain, brisk bleeding, pale and cold right upper extremity. It was associated with absent radial and ulnar pulses and profound neurological deficits. The brachial artery was diagnosed and confirmed by angiography and was repaired with reverse right saphenous vein graft in interpositioning. Prompt management of the traumatic brachial artery injuries is mandatory to maximize the survival of the patient and to prevent complications like compartment syndrome.References
Ekim H, Tuncer M. Management of traumatic brachial artery injuries: A report on 49 patients. Ann Saudi Med. 2009;29(2):105-9.
Ergunes K, Yilik L, Ozsoyler I, Kestelli M, Ozbek C, Gurbuz A. Traumatic Brachial Artery Injuries. Tex Heart Inst J. 2006;33(1):31-4.
Franz RW, Goodwin RB, Hartman JF. Management of upper extremity arterial injuries at an urban level I trauma center. Ann Vasc Surg. 2009;23(1):8-16.
Zellweger R, Hess F, Nicol A. An analysis of 124 surgically managed brachial artery injuries. Am J Surg. 2003;188:240-5.
McCready RA. Upper-extremity vascular injuries. Surg Clin North Am. 1988;68:725-40.
Raskin KB. Acute vascular injuries of the upper extremity. Hand Clin. 1993;9(1):115-30.
Shanmugam V, Velu RB, Subramaniyan SR, Hussain SA, Sekar N. Management of upper limb arterial injury without angiography–Chennai experience. 2004;35:61-4.
Cihan HB, Gulcan O, Hazar A, Turkoz R. Peripheral vascular injuries [in Turkish]. Ulus Travma Derg. 2001;7:113-6.
Orcutt MB, Levine BA, Gaskill HV, Sirinek KR. Civilian vascular trauma of the upper extremity. J Trauma. 1986;26(1):63-7.
Yavuz S, Tiryakioglu O, Celkan A, Mavi M, Ozdemir A. Emergency surgical procedures in the peripheral vascular injuries. Turk J Vasc Surg. 2000;1:15-20.
Hunt CA, Kingsley JR. Vascular injuries of the upper extremity. South Med J. 2000; 93(5):466-8.
Hardin WD Jr, O'Connell RC, Adinolfi MF, Kerstein MD. Traumatic arterial injuries of the upper extremity: determinants of disability. Am J Surg. 1985;150(2):266-70.
Sri-Ram K, Ranawat V. Significant brachial artery injury in a well perfused limb following closed elbow dislocation. Injury Extra. 2005;36:239-41.
