[Successful surgical revascularization after 18 hour ischemia below the knee due to complete avulsion of the popliteal artery].
We report the case of a 33-year-old man after knee luxation and disruption of a popliteal artery, which was missed after repositioning at the first clinic. Eighteen hours later complete discontinuity of the popliteal artery was confirmed by arteriography and an immediate reversed, end-to-end auto-venous graft was interposed under general anesthesia with anterior and posterior fasciotomy prior to blood flow restoration. Forced diuresis with a diuretic mixture and balanced fluid intake were used, and the patient was discharged from the intensive care unit on the 10th postoperative day in good condition with normal diuresis.
Gersak
B
B
Abteilung für Kardiovaskuläre Chirurgie, Laibach (Ljubljana), Slowenien.
Smrkolj
V
V
Gabrijelcic
T
T
D058186:Acute Kidney Injury / Q000628:therapy; D000328:Adult; D000792:Angiography; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000601:surgery*; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008297:Male; D008866:Microsurgery; D009211:Myoglobin / Q000097:blood; D011150:Popliteal Artery / Q000293:injuries*; D011183:Postoperative Complications / Q000628:therapy; D014680:Veins / Q000637:transplantation
D009211:Myoglobin