An original external iliac artery reconstruction with internal iliac artery translocation in a blunt injury of the pelvic vessels in a 4-year-old child: A 12-year follow-up study

David Chayen; Leonel Copeliovitch; Zalman Itzhakov; Michael Zaretsky; Igor Rabin

doi:10.1016/j.jvscit.2019.09.003

An original external iliac artery reconstruction with internal iliac artery translocation in a blunt injury of the pelvic vessels in a 4-year-old child: A 12-year follow-up study

J Vasc Surg Cases Innov Tech. 2019 Nov 13;5(4):492-496. doi: 10.1016/j.jvscit.2019.09.003. eCollection 2019 Dec.

Authors

David Chayen¹, Leonel Copeliovitch¹, Zalman Itzhakov¹, Michael Zaretsky¹, Igor Rabin¹

Affiliation

¹ Department of Vascular Surgery, Assaf Harofe Medical Center, Sackler Faculty of Medicine, Zerifin, Israel.

Abstract

A 4-year-old child presented to the emergency department with an open-book pelvic fracture, blunt trauma to the right external iliac artery and vein, and contaminated abdomen due to jejunal tear. Arterial reconstruction with polytetrafluoroethylene was not considered because of caliber discrepancy of 6 mm compared with 3 mm of the child's external iliac artery and a 40% probability of graft infection. We used the ipsilateral internal iliac artery, which was dissected for 7 cm; the distal artery was translocated and anastomosed to the distal external iliac artery. At 12 years of follow-up, the artery grew with the patient, with no need for replacement.

Keywords: Arterial reconstruction; Pediatric vascular injury; Pelvic blunt trauma.

Publication types

Case Reports