Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Surgery
Volume 2014 (2014), Article ID 430583, 3 pages
http://dx.doi.org/10.1155/2014/430583
Case Report

Axillary Artery Injury Caused by Fracture of Humerus Neck and Its Repair Using Basilic Vein Graft

1Department of Cardiothoracic and Vascular Surgery, Dr. RPGMC Kangra at Tanda (H.P.), Kangra, Himachal Pradesh 176001, India
2Department of Orthopedics, Dr. RPGMC Kangra at Tanda (H.P.), Kangra, Himachal Pradesh 176001, India

Received 11 May 2014; Accepted 13 June 2014; Published 30 June 2014

Academic Editor: Oded Olsha

Copyright © 2014 Vikas Deep Goyal et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Proximal humerus fractures are rarely associated with axillary artery injury. We present a case of a 59-year-old female who had fracture neck humerus along with absent pulsations in the left upper limb after blunt trauma. Computed tomographic angiogram revealed complete occlusion of the left axillary artery. Urgent surgical intervention was done in the form of fixation of fracture followed by exploration and repair of axillary artery. Axillary artery was contused and totally occluded by fractured edge of humerus. Repair of the axillary artery was done using basilic vein graft harvested through the same incision. Postprocedure pulsations were present in the upper limb.