RADIAL ARTERY TOTAL RUPTURE in 40th YEAR OLD MALE

Abstract

Introduction: Acute traumatic arterial injury in connection with fracture is one of the most serious conditions as regards traumas of the extremities. As compared to other states causing insufficiency of circulation in the extremities. As a consequence, many cases of this kind with fracture and arrest or disturbance of blood flowing to arterial lesion have led to loss of the extremity or to disability on account of claudication, muscular atrophy, pareses and coldness.

Case Presentation: A 40-year-old man presented at Saiful Anwar Hospital came to ER suffered from pain in right forearm after motorcycle accident 2 hours before admitted to ER, his forearm got drilled by other vehicle, cannot move right forearm and felt numbness in right all finger. No history of loss of consciousness, chest pain, local edema, shortness of breath and abdominal pain.

Discussion: Autologous saphenous vein grafting has been broadly used as a bypass conduit, interposition graft, and patch graft in a variety of operations in cardiac, thoracic, neurovascular, general vascular, vascular access, and urology surgeries, since they are superior to prosthetic veins. Modified saphenous vein grafts (SVG), including spiral and cylindrical grafts, and vein cuffs or patches, are employed in vascular revascularization to satisfy the large size of the receipt vessels or to obtain a better patency. A loop SVG helps flap survival in a muscle flap transfer in plastic and reconstructive surgery.

Conclusion: A 40-year-old man came to ER after motorcycle accident, suffered pain in right forearm, numbness on fingers, and cannot move his forearm 2 hours before admitted to ER. From physical examination we found that there was loss of radial artery with missing part of artery, the saturation starting decrease. We choose perform emergency repair of artery, the situation we decided interposition graft with saphenous great vein, because from one of the research have successful rate and patency flow of artery about 86% in acute phase. The results from our worked, is fascinating and show good progress from clinical pattern.