Case Report: Limb Salvage after Delayed Brachial Artery Injury with Critical Limb Ischemia

Limb Salvage after Delayed Brachial Artery Injury with Critical Limb Ischemia

Abstract

Background ꓽ The superficial location of the brachial artery makes it the most frequently injured artery in the upper extremity; its injury represents approximately 28% of all vascular injuries. The objective of this study is to highlight that prompt revascularization can save the limb even in cases of delayed brachial artery injury with severe vascular compromise.

Patients and Methods ꓽ It is a case study of 22-year male patient transferred to our hospital with critical limb ischemia following penetrating injury of his left elbow caused by glass during a fight .He presented to us 9 hours after the injury with hypotension, pallor, severe rest pain, cold and cyanosed extremity with absent distal pulses, and also he had bleeding lacerated wound at the region of left elbow. Diagnosis of brachial artery injury was made with clinical examination with no need for farther diagnostic modalities, and after rapid patient resuscitation, he was taken immediately to the theater and we performed end ̶ to ̶ end anastomosis of the brachial artery and also repair of the associated nerve injuries.

Conclusion ꓽ Prompt surgical intervention with appropriate management is essential to save the limb in cases of delayed brachial artery injuries with critical limb ischemia.