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Case Reports
. 2020 Jul 12;12(7):e9150.
doi: 10.7759/cureus.9150.

Vascular Shunt for Small Vessel Trauma in a Polytrauma Patient

Affiliations
Case Reports

Vascular Shunt for Small Vessel Trauma in a Polytrauma Patient

Anupam K Gupta et al. Cureus. .

Abstract

A 15-year-old male patient presented with multiple gunshot injuries. The patient underwent emergency lifesaving exploratory laparotomy and subsequently needed repair of his left upper limb ulnar artery injury. A shunt helped restore blood flow to the hand in a setting of damage control surgery in an exsanguinating patient with an ulnar artery injury having a massive disruption. After resuscitation, the patient underwent definitive repair of the artery using a vein interposition graft.

Keywords: polytrauma; small vessel; ulnar artery shunt; vascular shunt.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Left humerus bone fracture with bullet fragment
Figure 2
Figure 2. Left upper limb angiogram with high brachial artery bifurcation and flow in ulnar artery
Figure 3
Figure 3. Argyl shunt in ulnar artery across elbow joint
Figure 4
Figure 4. Basilic vein interposition draft with Doppler signals distally

References

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