Revascularization for acute blunt popliteal artery injury

Case A 45‐year‐old man was brought to our hospital in pre‐shock after falling from a motorcycle. As we diagnosed him with open fracture of the right femur with leg ischemia, we performed revascularization of injured popliteal artery and treated the leg. The pathological findings showed fragmentation...

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Bibliographic Details
Published inAcute medicine & surgery Vol. 3; no. 3; pp. 276 - 278
Main Authors Nishimura, Kengo, Hamasaki, Takafumi, Ohno, Takashi, Nishihara, Akihiko, Ito, Hisao, Ishiguro, Shingo
Format Journal Article
LanguageEnglish
Published United States John Wiley and Sons Inc 01.07.2016
Subjects
Amputation
apoptosis
blunt injury
Case Report
Case Reports
motorcycles
vascular system injuries
motorcycles
apoptosis
vascular system injuries
Amputation
blunt injury
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Summary:Case A 45‐year‐old man was brought to our hospital in pre‐shock after falling from a motorcycle. As we diagnosed him with open fracture of the right femur with leg ischemia, we performed revascularization of injured popliteal artery and treated the leg. The pathological findings showed fragmentation and decrease of elastic fibers and fragmentation of collagen fibers, but no inflammatory cells or intimal hyperplasia, and no dissection. Outcome Unfortunately, amputation had to be carried out on the 29th postoperative day due to infection and leg dysfunction. The postoperative course was uneventful. The patient could walk with an artificial leg and was discharged approximately 5 months after popliteal artery replacement. Conclusions We report a case of revascularization involving a patient with open fracture of the right femur due to acute blunt popliteal artery injury.
ISSN:2052-8817
2052-8817
DOI:10.1002/ams2.160