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. 2014:2014:430583.
doi: 10.1155/2014/430583. Epub 2014 Jun 30.

Axillary artery injury caused by fracture of humerus neck and its repair using basilic vein graft

Vikas Deep Goyal  1 , Vipin Sharma  2 , Sandeep Kalia  2 , Manik Sehgal  2
Affiliations

Axillary artery injury caused by fracture of humerus neck and its repair using basilic vein graft

Vikas Deep Goyal et al. Case Rep Surg. 2014.

Abstract

Proximal humerus fractures are rarely associated with axillary artery injury. We present a case of a 59-year-old female who had fracture neck humerus along with absent pulsations in the left upper limb after blunt trauma. Computed tomographic angiogram revealed complete occlusion of the left axillary artery. Urgent surgical intervention was done in the form of fixation of fracture followed by exploration and repair of axillary artery. Axillary artery was contused and totally occluded by fractured edge of humerus. Repair of the axillary artery was done using basilic vein graft harvested through the same incision. Postprocedure pulsations were present in the upper limb.

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Figures

Figure 1
Figure 1
(a) Preoperative CT angiogram showing injury to left axillary artery by fracture proximal end of humerus. (b) Preoperative CT angiogram showing complete occlusion of left axillary artery.
Figure 2
Figure 2
Intraoperative photograph showing repair of axillary artery using reversed basilic vein graft.
See this image and copyright information in PMC

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