Subclavian artery reconstruction with femoral vein for ballistic injury in a 3-year-old boy

Winston Scambler; Simar Goyal; Charles A West Jr; John L Crawford; Jonathan S Deitch

doi:10.1016/j.jvscit.2023.101349

Subclavian artery reconstruction with femoral vein for ballistic injury in a 3-year-old boy

J Vasc Surg Cases Innov Tech. 2023 Sep 14;9(4):101349. doi: 10.1016/j.jvscit.2023.101349. eCollection 2023 Dec.

Authors

Winston Scambler¹, Simar Goyal¹, Charles A West Jr^{1

2}, John L Crawford^{1

2}, Jonathan S Deitch^{1

2}

Affiliations

¹ Division of Vascular Surgery, TCU Burnett School of Medicine, Fort Worth, TX.
² Department of Surgery, Texas Health Harris Methodist Hospital, Fort Worth, TX.

Abstract

Few descriptions of using the femoral vein as an arterial replacement exist in the pediatric surgical literature. A 3-year-old child sustained a gunshot wound to the right subclavian artery, which resulted in ischemia to the upper extremity. The left femoral vein was harvested and used to reconstruct the subclavian artery. This report highlights a rare case of subclavian artery reconstruction using a femoral vein conduit in a young child after a penetrating injury.

Keywords: Pediatric vascular trauma; Penetrating vascular injuries; Subclavian artery injury.

Publication types

Case Reports