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Sanidad Militar
versão impressa ISSN 1887-8571
Resumo
GASCON HOVE, M. et al. Management of traumatic injury of femoral artery with autologous saphenous vein graft in area of operations. Sanid. Mil. [online]. 2015, vol.71, n.1, pp.32-34. ISSN 1887-8571. https://dx.doi.org/10.4321/S1887-85712015000100006.
In both the military and civilian settings, traumatic vascular extremity trauma is an uncommon but potentially fatal injury. Principles of treatment involve correcting shock, rapid surgical restoration of blood flow, and strict postoperative surveillance. Under optimal conditions for these injuries, the rate of amputation and mortality are below 10% and 4%, respectively. We present a case of an Afghan soldier who suffered a major traumatic extremity injury in an austere environment. Early revascularization was temporized with an arterial shunt. After his condition stabilized, he was evacuated to the next echelon of care, where a definitive an autologous reverse saphenous vein bypass was performed.
Palavras-chave : Vascular trauma; Arterial injury.