| A Case of Acute Occlusion of
the Brachial Artery due to Strangulation and Traction |
| Masaki Kimura |
Hisato Takagi |
Yoshio Mori |
| Tadamasa Miyauchi |
Hajime Hirose |
|
(First Department of Surgery, Gifu University School
of Medicine, Gifu, Japan)
|
A 61-year-old woman with paresthesia
and coldness of the right forearm came to our institute. Her
right arm was strangulated and tracted by a vinyl string tied
at her right brachium. No pulsation of her right radial artery
was detected, and her forearm had swollen with subcutaneous hematoma.
Her arteriography showed occlusion of the distal site of the
right brachial artery, and just proximal to the brachial arterial
bifurcation was enhanced by collaterals. She underwent emergency
revascularization 6h after injury. There was a thrombus in the
artery at the strangulated site, and the arterial intima was
circumferentially dissected. The injured site of the artery was
completely resected and interposed with basilic vein. Although
8h had passed from injury to reperfusion, myonephropathic metabolic
syndrome did not occur after the operation. Her brachial arterial
pulsation is now well palpable. The arterial occlusion was probably
caused by the circumferential tear of the intima due to not only
direct strangulation but also strong traction of the arm. It
is necessary to resect a sufficient length of injured artery.
Jpn. J. Cardiovasc. Surg. 31：52-54(2002) |
|
