Vascular Trauma
August 04, 2011
Post traumatic intraorbital arteriovenous fistula
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A patient with a history of previous closed head injury presented with chemosis, proptosis and conjunctival injection of the right eye. CT showed a dilated superior ophthalmic vein suggesting the presence of a carotid–cavernous sinus fistula.
December 26, 2010
Bilateral lower extremity gunshot wound with arterial and venous injury
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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.
August 21, 2010
Aortic Dissection in Blunt Trauma
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A patient involved in a car accident causing his vehicle to roll, sustained an aortic dissection just distal to the renal arteries requiring open aortic grafting to repair it.
August 04, 2009
Venous laceration to lower limb without fasciotomy
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Trauma surgeons deal rarely with isolated penetrating venous injuries to the lower limbs due to the proximity of the vein-arterial complex. The limb remains vascularized but intensely swollen and a fasciotomy must be considered. Inserting a 'drip line' into both severed ends permits immediate venous return and improves the venous hypertension to the point where a fasciotomy can be avoided. This 'damage control' act does allow one to come back a day later and to reestablish continuity with any interposition graft available. The contralateral long saphenous is first choice, a synthetic graft second, a ligature and fasciotomy third choice.
July 10, 2007
Gunshot to Carotid Artery
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A gunshot wound to the left neck, disrupting the internal and external carotid arteries. Operative repair with reversed vein graft.
January 08, 2007
Superficial Femoral Artery Impalement. Arterial Shunt
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A combined femur fracture and superficial femoral artery impalement injury managed with temporary shunting to restore flow before fracture fixation and definitive repair.
November 28, 2006
Angiographic Coiling for Pelvic Haemorrhage
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Angiographic Coiling for Pelvic Haemorrhage
Karim Brohi
London, England
Case Presentation
A 47 year old man is brought to the trauma centre having had a wall collapse…
October 16, 2005
Infrahepatic Inferior Vena Cava injury
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Gunshot wound to the abdomen, with injury to the lateral wall of the infrahepatic inferior vena cava. The IVC was accessed through a right medial visceral rotation and a lateral repair performed.
