Complete resection of the superficial femoral artery and superficial femoral vein due to forceful trauma: a case report
DOI:
https://doi.org/10.48750/acv.637Palavras-chave:
femoral artery, injury, femoral vein, trauma, blunt vascular injuryResumo
BACKGROUND: The incidence of superficial femoral artery trauma with or without involvement of superficial femoral vein, in the absence of organ injury or fractures, is rare. We present a case of superficial femoral artery and vein resection caused by high-energy blunt trauma.CLINICAL CASE: A 60-year-old male was transferred to our hospital due to forceful trauma of the superficial femoral artery and vein. The injured portion of the artery was resected, and a reversed ipsilateral great saphenous vein graft interposition was performed. The superficial femoral vein was ligated. No post-operative complications were noted, and the patient was discharged three weeks after the operation without any relevant sequelae
CONCLUSION: This case report highlights the clinical presentation, diagnostic workup, management, and outcomes of traumatic blunt injuries to the femoral vessels.
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Liang NL, Alarcon LH, Jayabalan G, Avgerinos ED, Makaroun MS, Chaer RA. Contemporary outcomes of civilian lower extremity arterial trauma. J Vasc Surg. 2016;64:731-6.
Kauvar DS, Sarfati MR, Kraiss LW. National trauma databank analysis of mortality and limb loss in isolated lower extremity vascular trauma. J Vasc Surg. 2015;33:598-603.
Johansen K, Hansen ST Jr. MESS (Mangled Extremity Severity Score) 25 years on: Time for a reboot? J Trauma Acute Care Surg. 2015;79:495-6.
Smith RF, Szilagyi E, Elliott JP Jr. Fracture of long bones with arterial injury due to blunt trauma. Principles of management. Arch Surg 1969; 99: 315-24.
Cargile JS, Hurt JL, Purdue GF. Acute trauma of the femoral artery and vein. J Trauma 1992; 32: 364-70.
Asensio JA, Kurucir EJ, Garcia-Nuñez LM, Petrone P. Femoral vessel injuries: analysis of factors predictive of outcomes. J Am Coll Surg. 2006;203:512-20.
Zelkveeger R, Hess F, Nicol A, Omoshoro-Jones J, Kahn D, Navsaria P. An analysis of 12/4 surgically managed brachial artery injuries. Am J Surg. 2004;188:240-5.
Gill H, Jenkins W, Edu S, Bekker W, Nicol AJ, Navsaria PH. Civilian penetrating axillary artery injuries. World J Surg. 2011;35:962-6.
Banderker MA, Navsaria PH, Edu S, Bekker W, Nicol AJ, Naidoo N. Civilian popliteal artery injuries. S Afr J Surg. 2012;50:19-23.
Sobnach S, Nicol AJ, Nathie H, Edu S, Kahn D, Navsaria PH. An analysis of 50 surgically managed penetrating subclavian artery injuries. Eur J Vasc Endovasc Surg. 2010;39:155-9.
Murugan N, Navsaria PH, Edu S, Nicol AJ. Femoral vessel injury: an audit of 64 patients. S Afr J Surg. 2008;46:120.
Cargile JS, Hurt JL, Purdue GF. Acute trauma of the femoral artery and vein. J Trauma. 1992;32:361-4.
Degiannis E. Penetrating injuries to the femoral artery. Br J Surg. 1995;82:492-5.
Hafez HM, Woolgar J, Robbs JV. Lower extremity arterial injury: results of 550 cases and review of risk factors associated with limb loss. J Vasc Surg. 2001;33:121-9.
Rayamajhi S, Murugan N, Nicol A, Edu S, Klopper J, Naidoo N, et al. Penetrating femoral artery injuries: an urban trauma centre experience. Eur J Trauma Emerg Surg. 2019;45:909-17.
Karonen E, Eek F, Butt T, Acosta S. Prophylactic and Therapeutic Fasciotomy for Acute Compartment Syndrome after Revascularization for Acute Lower Limb Ischemia-Renal and Wound Outcomes. Ann Vasc Surg. 2023;88:154-63.
Carrillo EH, Spain DA, Miller FB, Richardson JD. Femoral vessel injuries. Surg Clin North Am 2002;82:49-65.
Watson JD, Houston R, Morrison JJ, Gifford SM, Rasmussen TE. A retrospective cohort comparison of expanded polyterafluoroethylene to autologous vein for vascular reconstruction in modern combat casualty care. Ann Vasc Surg 2015;29:822-9.
Shaikh SP, Haqqani MH, Alison DB, Forsyth A, Brea F, Richman A, et al. Outcomes following ipsilateral great saphenous vein bypass for lower extremity arterial injuries. Injury. 2022;30:020-1383(23):0286-3.
Ramdass MJ, Spence R, Hamarayan P. Outcomes Associated with Femoral Vein Segmental Oversew/Ligation in Penetrating Trauma. J Emerg Trauma Shock. 2020;13:231.
Manley NP, Magnotti LJ, Fabian TC, Croce MA, Sharpe JP. Impact of venorrhaphy and vein ligation in isolated lower-extremity venous injuries on venous thromboembolism and edema. J Trauma Acute Care Surg. 2018;84:325-9.
