Surgical Strategy for Arterial Occlusion Due to Blunt Trauma

Abstract

We report here five cases of arterial occlusion due to blunt trauma. Case 1: A 36-year-old man was struck his lower abdomen by a bucket of power shovel. Computed tomography showed occlusion of the left common femoral artery. Case 2: A 49-year-old man fell off a boat and got his right groin trauma. Intima of the right superficial femoral artery was teared, resulting in occlusion. Case 3: A 71-year-old man got entangled in a net of the fishery and fell off a ship. He got occlusion of the popliteal artery. Case 4: A 79-year-old man slipped and fell on a road, and his right humerus was broken. Computed tomography showed occlusion of the right brachial artery. In these four cases, arterial dissecting occlusion resulted in limb ischemia. Vein graft bypassing and replacement were performed to rescue these limbs in three cases and another, respectively. Case 5: A 78-year-old man was struck his right groin by an anchor. Dissecting occlusion occurred from the proximal external iliac artery to the common femoral artery. Bare metal stenting through the true lumen of the ipsilateral femoral artery was performed for entry closure, and a good blood flow recovery was obtained with expansion of the true lumen. Vein graft bypassing and interventional radiology effectively treated blunt artery trauma.