Transection of the brachial artery after closed posterior elbow dislocation Bertrand Marcheix, MD, Xavier Chaufour, MD, PhD, Jacques Ayel, MD, Lucy Hollington,

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Presentation transcript:

Transection of the brachial artery after closed posterior elbow dislocation Bertrand Marcheix, MD, Xavier Chaufour, MD, PhD, Jacques Ayel, MD, Lucy Hollington, MD, Pierre Mansat, MD, PhD, André Barret, MD, Jean-Pierre Bossavy, MD, PhD Journal of Vascular Surgery Volume 42, Issue 6, Pages 1230-1232 (December 2005) DOI: 10.1016/j.jvs.2005.07.046 Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 1 A-B, Plain elbow radiograph demonstrates a posterior dislocation of the elbow. C-D, Angiogram demonstrates the interruption of flow in the distal segment of the brachial artery, with collaterals filling the ulnar artery just below the bifurcation. Journal of Vascular Surgery 2005 42, 1230-1232DOI: (10.1016/j.jvs.2005.07.046) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 2 A, Operative photographs demonstrate the complete disruption of the brachial artery, whereas the median nerve remains intact. The white arrow indicates the brachial artery with transaction; the green arrow demonstrates the median nerve. B, Operative photographs demonstrate the placement of an interposed reversed saphenous vein to bridge the traumatic defect in the native brachial artery. The white arrow demonstrates the venous bypass. Journal of Vascular Surgery 2005 42, 1230-1232DOI: (10.1016/j.jvs.2005.07.046) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 3 Drawing demonstrates the arterial collateral circulation around the elbow involving the deep brachial artery and the dorsal interosseous artery, the anterior ulnar recurrent artery and the inferior ulnar collateral artery, the posterior ulnar recurrent artery and the superior ulnar collateral artery, and the radial recurrent artery. Journal of Vascular Surgery 2005 42, 1230-1232DOI: (10.1016/j.jvs.2005.07.046) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions