Extraanatomic bypass grafting in a patient with an infected femoral defect caused by a rollover accident: a case report
A 59-year-old male patient presented to the emergency department after a tractor rollover accident. His Injury Severity Score was 41 points. He had multiple pelvic bone fractures and a left common femoral artery injury with soft tissue loss. The injured arteries with skin defect were initially manag...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2022-08-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2021-0005.pdf |
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| author | Dae Sung Ma Dong Hun Kim Jae-Wook Ryu Sung Wook Chang |
| author_facet | Dae Sung Ma Dong Hun Kim Jae-Wook Ryu Sung Wook Chang |
| author_sort | Dae Sung Ma |
| collection | DOAJ |
| description | A 59-year-old male patient presented to the emergency department after a tractor rollover accident. His Injury Severity Score was 41 points. He had multiple pelvic bone fractures and a left common femoral artery injury with soft tissue loss. The injured arteries with skin defect were initially managed with endarterectomy and primary repair. However, the sepsis secondary to the infection from a skin defect became uncontrolled. The infected wound developed massive hemorrhage from the repaired arteries. Supportive measures were initiated to achieve hemostasis but unsuccessful. We performed an anastomosis with a prosthetic graft from the common iliac artery to the femoral artery above the knee, avoiding the wound through the lateral side of the anterior superior iliac spine. After revascularization, the patient recovered uneventfully. An extraanatomic graft reconstruction should be considered early when the autologous vein is unsuitable. |
| format | Article |
| id | doaj-art-cd688e00c44d4891a4fbbeb5b4e7750e |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2022-08-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-cd688e00c44d4891a4fbbeb5b4e7750e2025-01-16T04:51:18ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832022-08-0135Suppl 1S23S2610.20408/jti.2021.00051128Extraanatomic bypass grafting in a patient with an infected femoral defect caused by a rollover accident: a case reportDae Sung Ma0Dong Hun Kim1Jae-Wook Ryu2Sung Wook Chang3 Trauma Center, Dankook University Hospital, Cheonan, Korea Trauma Center, Dankook University Hospital, Cheonan, Korea Department of Thoracic and Cardiovascular Surgery, Dankook University Hospital, Cheonan, Korea Trauma Center, Dankook University Hospital, Cheonan, KoreaA 59-year-old male patient presented to the emergency department after a tractor rollover accident. His Injury Severity Score was 41 points. He had multiple pelvic bone fractures and a left common femoral artery injury with soft tissue loss. The injured arteries with skin defect were initially managed with endarterectomy and primary repair. However, the sepsis secondary to the infection from a skin defect became uncontrolled. The infected wound developed massive hemorrhage from the repaired arteries. Supportive measures were initiated to achieve hemostasis but unsuccessful. We performed an anastomosis with a prosthetic graft from the common iliac artery to the femoral artery above the knee, avoiding the wound through the lateral side of the anterior superior iliac spine. After revascularization, the patient recovered uneventfully. An extraanatomic graft reconstruction should be considered early when the autologous vein is unsuitable.http://jtraumainj.org/upload/pdf/jti-2021-0005.pdffemoral arterywounds and injuryprostheses and implantsinfectionscase reports |
| spellingShingle | Dae Sung Ma Dong Hun Kim Jae-Wook Ryu Sung Wook Chang Extraanatomic bypass grafting in a patient with an infected femoral defect caused by a rollover accident: a case report Journal of Trauma and Injury femoral artery wounds and injury prostheses and implants infections case reports |
| title | Extraanatomic bypass grafting in a patient with an infected femoral defect caused by a rollover accident: a case report |
| title_full | Extraanatomic bypass grafting in a patient with an infected femoral defect caused by a rollover accident: a case report |
| title_fullStr | Extraanatomic bypass grafting in a patient with an infected femoral defect caused by a rollover accident: a case report |
| title_full_unstemmed | Extraanatomic bypass grafting in a patient with an infected femoral defect caused by a rollover accident: a case report |
| title_short | Extraanatomic bypass grafting in a patient with an infected femoral defect caused by a rollover accident: a case report |
| title_sort | extraanatomic bypass grafting in a patient with an infected femoral defect caused by a rollover accident a case report |
| topic | femoral artery wounds and injury prostheses and implants infections case reports |
| url | http://jtraumainj.org/upload/pdf/jti-2021-0005.pdf |
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