Sectional Axillary Artery Reparation Through the Use of An Autologous Graft from the Mayor Saphenous Vein
Keywords:
, vascular trauma, axillary artery, graft, saphenous vein, fractureAbstract
A traumatic humeral fracture is a clinic entity that presents with relative frequency in emergency services. It is estimated that its incidence is between 4% to 5% of all fractures, 45% of surgical neck of the humerus and additionally 85% of these are non displaced. Complications that may occur during surgical correction of a humeral fracture include vascular and neurological lesions, with vascular lesions being the most common (3%). The close proximity of the axillary vasculature to the head of the humerus increased the risk of vascular lesion during the fracture or anterior luxation of the shoulder.
This case report presents a 57 year old female patient, with a medical history of traumatic injury to the humerus, 15 days prior to the first consultation. During which she presents with pain, limited functional mobility, and loss of range of movement.
An anterior-posterior x-ray is taken of the shoulder, where a complete fracture of the surgical neck of the humerus is visualized. The patient is then taken to a shoulder arthroplasty and at the moment of closing the tuberosities over the prosthesis, it presents with profuse bleeding due to an intraoperative complication that generates a 1cm marginal tear of the axillary artery. This situation required management by vascular surgery who decides to implement the placement of an autologous graft of the major saphenous vein.
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