Subclavian-Brachial Bypass for Chronic Limb Threatening Ischemia Associated with an Old Motorcycle Accident
Chronic limb-threatening ischemia is rarely associated with previous traumatic injury. We present a case of a 28-year-old male with progressive digit ulcers, a weak pulse, cyanosis, and a cold limb. Eight months prior, he had a motorcycle accident resulting in a right clavicle fracture and brachial...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Medrang
2022-06-01
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| Series: | Vascular Specialist International |
| Subjects: | |
| Online Access: | https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.220012 |
| _version_ | 1797960197201723392 |
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| author | Jose I. Martínez-Quesada Javier E. Anaya-Ayala Santiago Mier y Terán-Ellis Montserrat Miranda-Ramírez Luis H. Arzola Christopher Ruben-Castillo Juan C. Aramburo Jesus M. de los Ríos Carlos A. Hinojosa |
| author_facet | Jose I. Martínez-Quesada Javier E. Anaya-Ayala Santiago Mier y Terán-Ellis Montserrat Miranda-Ramírez Luis H. Arzola Christopher Ruben-Castillo Juan C. Aramburo Jesus M. de los Ríos Carlos A. Hinojosa |
| author_sort | Jose I. Martínez-Quesada |
| collection | DOAJ |
| description | Chronic limb-threatening ischemia is rarely associated with previous traumatic injury. We present a case of a 28-year-old male with progressive digit ulcers, a weak pulse, cyanosis, and a cold limb. Eight months prior, he had a motorcycle accident resulting in a right clavicle fracture and brachial plexus injury. Computed tomography angiography revealed occlusion of the right subclavian artery near a surgically implanted reduction plate. The patient underwent an open subclavian-brachial bypass with a reversed saphenous vein graft. His postoperative recovery was uneventful. After 3 months, he had a euthermic right hand with a palpable pulse and his ulcers had completely healed. This case reinforces the need for patients with a neurological deficit in the upper extremity caused by blunt trauma to undergo thorough vascular examination to identify potential arterial injury and compromised perfusion. |
| first_indexed | 2024-04-11T00:43:32Z |
| format | Article |
| id | doaj.art-65d184c095024d5a9811f0860db17a96 |
| institution | Directory Open Access Journal |
| issn | 2288-7970 2288-7989 |
| language | English |
| last_indexed | 2024-04-11T00:43:32Z |
| publishDate | 2022-06-01 |
| publisher | Medrang |
| record_format | Article |
| series | Vascular Specialist International |
| spelling | doaj.art-65d184c095024d5a9811f0860db17a962023-01-06T01:30:03ZengMedrangVascular Specialist International2288-79702288-79892022-06-013810.5758/vsi.220012vsi.220012Subclavian-Brachial Bypass for Chronic Limb Threatening Ischemia Associated with an Old Motorcycle AccidentJose I. Martínez-Quesada0Javier E. Anaya-Ayala1Santiago Mier y Terán-Ellis2Montserrat Miranda-Ramírez3Luis H. Arzola4Christopher Ruben-Castillo5Juan C. Aramburo6Jesus M. de los Ríos7Carlos A. Hinojosa8Department of Surgery, Division of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubirán, México City, MéxicoDepartment of Surgery, Division of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubirán, México City, MéxicoDepartment of Surgery, Division of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubirán, México City, MéxicoDepartment of Surgery, Division of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubirán, México City, MéxicoDepartment of Surgery, Division of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubirán, México City, MéxicoDepartment of Surgery, Division of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubirán, México City, MéxicoDepartment of Surgery, Division of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubirán, México City, MéxicoDepartment of Surgery, Division of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubirán, México City, MéxicoDepartment of Surgery, Division of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubirán, México City, MéxicoChronic limb-threatening ischemia is rarely associated with previous traumatic injury. We present a case of a 28-year-old male with progressive digit ulcers, a weak pulse, cyanosis, and a cold limb. Eight months prior, he had a motorcycle accident resulting in a right clavicle fracture and brachial plexus injury. Computed tomography angiography revealed occlusion of the right subclavian artery near a surgically implanted reduction plate. The patient underwent an open subclavian-brachial bypass with a reversed saphenous vein graft. His postoperative recovery was uneventful. After 3 months, he had a euthermic right hand with a palpable pulse and his ulcers had completely healed. This case reinforces the need for patients with a neurological deficit in the upper extremity caused by blunt trauma to undergo thorough vascular examination to identify potential arterial injury and compromised perfusion.https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.220012fracturesubclavian arterychronic limb-threatening ischemiavascular injuriesvascular grafting |
| spellingShingle | Jose I. Martínez-Quesada Javier E. Anaya-Ayala Santiago Mier y Terán-Ellis Montserrat Miranda-Ramírez Luis H. Arzola Christopher Ruben-Castillo Juan C. Aramburo Jesus M. de los Ríos Carlos A. Hinojosa Subclavian-Brachial Bypass for Chronic Limb Threatening Ischemia Associated with an Old Motorcycle Accident Vascular Specialist International fracture subclavian artery chronic limb-threatening ischemia vascular injuries vascular grafting |
| title | Subclavian-Brachial Bypass for Chronic Limb Threatening Ischemia Associated with an Old Motorcycle Accident |
| title_full | Subclavian-Brachial Bypass for Chronic Limb Threatening Ischemia Associated with an Old Motorcycle Accident |
| title_fullStr | Subclavian-Brachial Bypass for Chronic Limb Threatening Ischemia Associated with an Old Motorcycle Accident |
| title_full_unstemmed | Subclavian-Brachial Bypass for Chronic Limb Threatening Ischemia Associated with an Old Motorcycle Accident |
| title_short | Subclavian-Brachial Bypass for Chronic Limb Threatening Ischemia Associated with an Old Motorcycle Accident |
| title_sort | subclavian brachial bypass for chronic limb threatening ischemia associated with an old motorcycle accident |
| topic | fracture subclavian artery chronic limb-threatening ischemia vascular injuries vascular grafting |
| url | https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.220012 |
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