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20 years old man after civilian gunshot wound, arrived in our emergency department with profound shock and ongoing bleeding from gunshot wounds to both thighs. EMS had started fluid resuscitation and so we rapidly transferred patient to the operating room with direct pressure for haemorrhage control. After induction of GA and bilateral compressional vascular control, both proximal ileofemoral junctions were exposed and controlled simultaneously by two surgery teams. Prior to fracture fixation two arterio-arterial shunts were applied.
Finally arterial and venous repairs were performed with ePTFE after orthopedic external fixator application.