Gunshot wound with lung injury, brachial plexus, axillary and intercostal artery

Introduction: Chest traumas with associated vascular lesions worsen the prognosis of patients due to hemorrhage. 80 % of all vascular traumas affect the extremities and 30 % are located in the upper limbs. Being able to use the patient's own tissues for repair is a viable treatment alternative,...

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Autores principales:	Germán Brito Sosa, Ana María Iraizoz Barrios
Formato:	article
Lenguaje:	ES
Publicado:	ECIMED 2021
Materias:	arteria axilar hemoneumotórax plexo braquial vena safena lesión pulmonar. Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/2e08c97e19f948798d5f69dea9f70102
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spelling	oai:doaj.org-article:2e08c97e19f948798d5f69dea9f701022021-12-03T13:28:51ZGunshot wound with lung injury, brachial plexus, axillary and intercostal artery1561-3046https://doaj.org/article/2e08c97e19f948798d5f69dea9f701022021-12-01T00:00:00Zhttp://revmedmilitar.sld.cu/index.php/mil/article/view/1394https://doaj.org/toc/1561-3046Introduction: Chest traumas with associated vascular lesions worsen the prognosis of patients due to hemorrhage. 80 % of all vascular traumas affect the extremities and 30 % are located in the upper limbs. Being able to use the patient's own tissues for repair is a viable treatment alternative, and sometimes the only possible one. Objective: To present a patient with chest trauma with vascular lesions, where the saphenous vein was used to restore the damage in the axillary artery and the tractotomy technique for massive hemothorax with lesion of the lung parenchyma. Clinical case: 32-year-old male patient with a gunshot wound to the shoulder and right hemithorax, which caused injury to the right axillary artery and massive hemothorax. A thoracotomy with tractotomy was performed at the level of the right upper lobe and ligation of the intercostal artery; and the right axillary region was explored to repair vascular damage. Conclusions: To treat penetrating chest trauma with bleeding lung injury, a pulmonary tractotomy and hemostasis should be performed to avoid intraparenchymal hematomas. Faced with an irreparable axillary artery injury, the saphenous vein is a viable alternative for its restoration and to achieve the vitality of the limb.Germán Brito SosaAna María Iraizoz BarriosECIMEDarticlearteria axilarhemoneumotóraxplexo braquialvena safenalesión pulmonar.MedicineRMedicine (General)R5-920ESRevista Cubana de Medicina Militar, Vol 50, Iss 4, Pp e02101394-e02101394 (2021)
institution	DOAJ
collection	DOAJ
language	ES
topic	arteria axilar hemoneumotórax plexo braquial vena safena lesión pulmonar. Medicine R Medicine (General) R5-920
spellingShingle	arteria axilar hemoneumotórax plexo braquial vena safena lesión pulmonar. Medicine R Medicine (General) R5-920 Germán Brito Sosa Ana María Iraizoz Barrios Gunshot wound with lung injury, brachial plexus, axillary and intercostal artery
description	Introduction: Chest traumas with associated vascular lesions worsen the prognosis of patients due to hemorrhage. 80 % of all vascular traumas affect the extremities and 30 % are located in the upper limbs. Being able to use the patient's own tissues for repair is a viable treatment alternative, and sometimes the only possible one. Objective: To present a patient with chest trauma with vascular lesions, where the saphenous vein was used to restore the damage in the axillary artery and the tractotomy technique for massive hemothorax with lesion of the lung parenchyma. Clinical case: 32-year-old male patient with a gunshot wound to the shoulder and right hemithorax, which caused injury to the right axillary artery and massive hemothorax. A thoracotomy with tractotomy was performed at the level of the right upper lobe and ligation of the intercostal artery; and the right axillary region was explored to repair vascular damage. Conclusions: To treat penetrating chest trauma with bleeding lung injury, a pulmonary tractotomy and hemostasis should be performed to avoid intraparenchymal hematomas. Faced with an irreparable axillary artery injury, the saphenous vein is a viable alternative for its restoration and to achieve the vitality of the limb.
format	article
author	Germán Brito Sosa Ana María Iraizoz Barrios
author_facet	Germán Brito Sosa Ana María Iraizoz Barrios
author_sort	Germán Brito Sosa
title	Gunshot wound with lung injury, brachial plexus, axillary and intercostal artery
title_short	Gunshot wound with lung injury, brachial plexus, axillary and intercostal artery
title_full	Gunshot wound with lung injury, brachial plexus, axillary and intercostal artery
title_fullStr	Gunshot wound with lung injury, brachial plexus, axillary and intercostal artery
title_full_unstemmed	Gunshot wound with lung injury, brachial plexus, axillary and intercostal artery
title_sort	gunshot wound with lung injury, brachial plexus, axillary and intercostal artery
publisher	ECIMED
publishDate	2021
url	https://doaj.org/article/2e08c97e19f948798d5f69dea9f70102
work_keys_str_mv	AT germanbritososa gunshotwoundwithlunginjurybrachialplexusaxillaryandintercostalartery AT anamariairaizozbarrios gunshotwoundwithlunginjurybrachialplexusaxillaryandintercostalartery
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Gunshot wound with lung injury, brachial plexus, axillary and intercostal artery

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