Management of Complex Post-traumatic Injury of the Upper Extremity in the Presence of Early Brachial Artery Branching

IntroductionRepair of vascular lesions can be particularly difficult in complex post-traumatic injuries of the extremities due to subversion of the anatomic planes and unexpected anatomical anomalies.ReportWe wish to report a case of complex post-traumatic injury of the upper extremities, in the presence of early brachial artery branching. A thorough examination of the wound revealed two proximal vascular stumps at inferior third of the arm level. Arterial continuity was reconstructed using two segments of reversed GSV to restore the damaged arteries’ length.DiscussionIn complex extremity traumas awareness of anatomical vascular anomalies is fundamental in planning an appropriate and durable vascular reconstruction.