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Case Reports
. 2019 Nov 13;5(4):492-496.
doi: 10.1016/j.jvscit.2019.09.003. eCollection 2019 Dec.

An original external iliac artery reconstruction with internal iliac artery translocation in a blunt injury of the pelvic vessels in a 4-year-old child: A 12-year follow-up study

David Chayen  1 , Leonel Copeliovitch  1 , Zalman Itzhakov  1 , Michael Zaretsky  1 , Igor Rabin  1
Affiliations
Case Reports

An original external iliac artery reconstruction with internal iliac artery translocation in a blunt injury of the pelvic vessels in a 4-year-old child: A 12-year follow-up study

David Chayen et al. J Vasc Surg Cases Innov Tech. .

Abstract

A 4-year-old child presented to the emergency department with an open-book pelvic fracture, blunt trauma to the right external iliac artery and vein, and contaminated abdomen due to jejunal tear. Arterial reconstruction with polytetrafluoroethylene was not considered because of caliber discrepancy of 6 mm compared with 3 mm of the child's external iliac artery and a 40% probability of graft infection. We used the ipsilateral internal iliac artery, which was dissected for 7 cm; the distal artery was translocated and anastomosed to the distal external iliac artery. At 12 years of follow-up, the artery grew with the patient, with no need for replacement.

Keywords: Arterial reconstruction; Pediatric vascular injury; Pelvic blunt trauma.

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Figures

Fig 1
Fig 1
A drawing of the surgical technique of translocated right internal iliac (RII) artery as replacement of the right external iliac (REI) artery, damaged by blunt trauma. RCI, Right common iliac artery.
Fig 2
Fig 2
Normal biphasic Doppler waveforms of right tibial arteries with 1.1 pressure index 12 years after operation.
Fig 3
Fig 3
The 12-year postoperative right internal iliac artery (IIA) translocation with anastomosis to the distal external iliac artery (EIA). CFA, Common femoral artery.
Fig 4
Fig 4
Magnetic resonance angiography image of the pelvis and right proximal thigh. The translocated right internal iliac artery is of normal length. Mild stenosis is noted at the right external iliac anastomosis. The left internal iliac artery fully developed to supply the right-sided pelvic organs.
See this image and copyright information in PMC

References

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