AI Summary & Key Takeaways
AI InsightIn this case, extra-anatomic left axillary-contralateral brachial artery bypass was performed for axillary artery injury which was caused by pathological humeral head fracture and in which primary repair was not performable.
📌 3 Key Takeaways
Abstract
Axillary artery injury rarely occurs after humeral fracture but requires emergency hemorrhage control and revascularization because it causes hemorrhage leading to hypovolemic shock and limb ischemia. Primary repair or saphenous vein graft interposition is mostly sufficient for axillary artery revascularization. If the injury includes a large segment of the artery or arterial dissection occurs anatomic or extra-anatomic bypass procedures become necessary. Extra-anatomic bypass can be performed from the carotid artery or contralateral subclavian or axillary artery. In this case, extra-anatomic left axillary-contralateral brachial artery bypass was performed for axillary artery injury which was caused by pathological humeral head fracture and in which primary repair was not performable.
Özet
Aksiller arter yaralanması humerus kırığı sonrası nadir görülür ancak hipovolemik şoka götüren kanama ve ekstremite iskemisine sebep olduğu için acil hemostaz ve revaskülarizasyon gerektirir. Aksiller arter revaskülarizasyonunda çoğunlukla primer onarım veya safen ven greft interpozisyonu yeterli olmaktadır. Yaralanmanın arterin geniş segmentini içerdiği veya arterde diseksiyon olduğu durumlarda anatomik veya ekstra-anatomik bypass uygulamaları gerekli olur. Ekstra anatomik bypass karotis arter, karşı taraf subklavyan veya aksiller arterden yapılabilir. Bu olgumuzda patolojik humerus başı kırığı nedeniyle oluşan, primer onarımı mümkün olmayan aksiller arter yaralanmasına ekstra-anatomik sol aksillo-kontrbrakial arter bypass operasyonu uyguladık.