Axillary Artery Injury Caused by Fracture of Humerus Neck and Its Repair Using Basilic Vein Graft

Overview

Journal Case Rep Surg

Publisher Wiley

Specialty General Surgery

Date 2014 Jul 26

PMID 25061530

Citations 2

Authors

Vikas Deep Goyal

Vipin Sharma

Sandeep Kalia

Manik Sehgal

Affiliations

Soon will be listed here.

Abstract

Proximal humerus fractures are rarely associated with axillary artery injury. We present a case of a 59-year-old female who had fracture neck humerus along with absent pulsations in the left upper limb after blunt trauma. Computed tomographic angiogram revealed complete occlusion of the left axillary artery. Urgent surgical intervention was done in the form of fixation of fracture followed by exploration and repair of axillary artery. Axillary artery was contused and totally occluded by fractured edge of humerus. Repair of the axillary artery was done using basilic vein graft harvested through the same incision. Postprocedure pulsations were present in the upper limb.

Citing Articles

Proximal humeral fracture-dislocation with axillary artery involvement treated with reverse shoulder arthroplasty.

Mehta V, Mandala C, Shriver R, Shah R JSES Open Access. 2019; 2(1):100-103.

PMID: 30675575 PMC: 6334852. DOI: 10.1016/j.jses.2017.12.008.

"Managing Axillary Artery Injuries-the Present Perspective".

Kaushik M Indian J Surg. 2016; 77(Suppl 3):1488-9.

PMID: 27011608 PMC: 4775583. DOI: 10.1007/s12262-015-1276-x.

References

Rasouli M, Moini M, Khaji A . Civilian traumatic vascular injuries of the upper extremity:report of the Iranian national trauma project. Ann Thorac Cardiovasc Surg. 2010; 15(6):389-93. View

Oc M, Guvener M, Ucar H, Akbulut B, Yilmaz M, Ersoy U . Isolated axillary artery injury due to blunt trauma. Ulus Travma Acil Cerrahi Derg. 2007; 13(2):145-8. View

Mouzopoulos G, Lassanianos N, Mouzopoulos D, Tzurbakis M, Georgilas I . Axillary artery injury associated with proximal humerus fractures. Vasa. 2008; 37(3):274-7. DOI: 10.1024/0301-1526.37.3.274. View

Yagubyan M, Panneton J . Axillary artery injury from humeral neck fracture: a rare but disabling traumatic event. Vasc Endovascular Surg. 2004; 38(2):175-84. DOI: 10.1177/153857440403800210. View

Mathei J, Depuydt P, Parmentier L, Olivie F, Harake R, Janssen A . Injury of the axillary artery after a proximal humeral fracture: a case report and overview of the literature. Acta Chir Belg. 2008; 108(5):625-7. DOI: 10.1080/00015458.2008.11680305. View

Carli A, de Jesus C, Martineau P . Isolated axillary artery injury due to blunt trauma in ice hockey. Clin J Sport Med. 2012; 22(5):446-7. DOI: 10.1097/JSM.0b013e3182582bf4. View

Gill H, Jenkins W, Edu S, Bekker W, Nicol A, Navsaria P . Civilian penetrating axillary artery injuries. World J Surg. 2011; 35(5):962-6. DOI: 10.1007/s00268-011-1008-8. View

Spahos T, Torella F . The basilic vein: an alternative conduit for complex iliofemoral reconstruction. Eur J Vasc Endovasc Surg. 2012; 43(4):457-9. DOI: 10.1016/j.ejvs.2012.01.002. View

Byrd R, Byrd Jr R, Roy T . Axillary artery injuries after proximal fracture of the humerus. Am J Emerg Med. 1998; 16(2):154-6. DOI: 10.1016/s0735-6757(98)90034-1. View

10.

Lewis H, Morrison C, Kennedy P, Herbert K . Arterial reconstruction using the basilic vein from the zone of injury in pediatric supracondylar humeral fractures: a clinical and radiological series. Plast Reconstr Surg. 2003; 111(3):1159-63; discussion 1164-6. DOI: 10.1097/01.PRS.0000046608.52722.89. View

11.

Ender Topal A, Nesimi Eren M . Management of axillo-subclavian arterial injuries and predictors of outcome. Minerva Chir. 2011; 66(4):307-15. View

12.

Slais M, Spacek M, Rohn V, Mitas P, Tosovsky J . Posterior elbow dislocation combined with subadventitial rupture of the brachial artery: interposition with the use of the autologous basilic vein. Prague Med Rep. 2007; 108(1):87-92. View

13.

Testerman G, Gonzalez G, Dale E . CT angiogram and endovascular stent graft for an axillary artery gunshot wound. South Med J. 2008; 101(8):831-3. DOI: 10.1097/SMJ.0b013e31817dfd44. View

14.

Razif M, Rajasingam V . Anterior shoulder dislocation with axillary artery and nerve injury. Med J Malaysia. 2003; 57(4):496-8. View

15.

Kruger A, Florido C, Braunisch A, Walther E, Yilmaz T, Doll D . Penetrating arterial trauma to the limbs: outcome of a modified protocol. World J Emerg Surg. 2013; 8(1):51. PMC: 4176145. DOI: 10.1186/1749-7922-8-51. View