Vascular Shunt for Small Vessel Trauma in a Polytrauma Patient

Anupam K Gupta; Monica I Burgos; Faris Azar; Mario Rueda; Nir Hus

doi:10.7759/cureus.9150

Vascular Shunt for Small Vessel Trauma in a Polytrauma Patient

Cureus. 2020 Jul 12;12(7):e9150. doi: 10.7759/cureus.9150.

Authors

Anupam K Gupta¹, Monica I Burgos², Faris Azar³, Mario Rueda⁴, Nir Hus^{5

6}

Affiliations

¹ Minimally Invasive Surgery, University of Miami Hospital, Miami, USA.
² Internal Medicine, Universidad Autonoma de Guadalajara, Guadalajara, MEX.
³ Surgery, St. Mary's Medical Center, West Palm Beach, USA.
⁴ Trauma and Acute Care Surgery, St. Mary's Hospital, Boca Raton, USA.
⁵ Surgery, Delray Medical Center, Delray Beach, USA.
⁶ Surgery, Florida Atlantic University, Boca Raton, USA.

Abstract

A 15-year-old male patient presented with multiple gunshot injuries. The patient underwent emergency lifesaving exploratory laparotomy and subsequently needed repair of his left upper limb ulnar artery injury. A shunt helped restore blood flow to the hand in a setting of damage control surgery in an exsanguinating patient with an ulnar artery injury having a massive disruption. After resuscitation, the patient underwent definitive repair of the artery using a vein interposition graft.

Keywords: polytrauma; small vessel; ulnar artery shunt; vascular shunt.

Publication types

Case Reports