Open AccessRevascularization for acute blunt popliteal artery injury
Author(s) -
Nishimura Kengo,
Hamasaki Takafumi,
Ohno Takashi,
Nishihara Akihiko,
Ito Hisao,
Ishiguro Shingo
Publication year - 2016
Publication title -
acute medicine and surgery
Language(s) - English
Resource type - Journals
ISSN - 2052-8817
DOI - 10.1002/ams2.160
Subject(s) - medicine , popliteal artery , revascularization , surgery , blunt , amputation , blunt trauma , femur , cardiology , myocardial infarction
Case A 45‐year‐old man was brought to our hospital in pre‐shock after falling from a motorcycle. As we diagnosed him with open fracture of the right femur with leg ischemia, we performed revascularization of injured popliteal artery and treated the leg. The pathological findings showed fragmentation and decrease of elastic fibers and fragmentation of collagen fibers, but no inflammatory cells or intimal hyperplasia, and no dissection. Outcome Unfortunately, amputation had to be carried out on the 29th postoperative day due to infection and leg dysfunction. The postoperative course was uneventful. The patient could walk with an artificial leg and was discharged approximately 5 months after popliteal artery replacement. Conclusions We report a case of revascularization involving a patient with open fracture of the right femur due to acute blunt popliteal artery injury.