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espanolTanto en el ambito civil como en el militar, las lesiones vasculares de las extremidades inferiores son frecuentes y potencialmente mortales. Las medidas de soporte iniciales para combatir el shock, una actitud quirurgica tecnicamente correcta encaminada a reparar precozmente la vascularizacion del miembro y un control postoperatorio estricto y continuo son los pilares basicos del tratamiento. En condiciones optimas, las tasas de amputacion y de mortalidad se hallan por debajo del 10 y del 4%, respectivamente. Presentamos a continuacion un caso de un militar afgano con una lesion con perdida de substancia de la arteria femoral en el que se consiguio una revascularizacion inicial con un shunt temporal. Tras ser estabilizado y evacuado al ROLE 2 de Herat, se realizo un injerto autologo de la vena safena contralateral. EnglishIn 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.

Manejo de lesión traumática de arteria femoral con injerto autólogo de vena safena en zona de operaciones