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Complications of missed arterial injuries
Malcolm O. Perry, MD Journal of Vascular Surgery Volume 17, Issue 2, Pages (February 1993) DOI: / (93)90424-K Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions
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Fig. 1 This false aneurysm of femoral artery (arrow) was caused by a stab wound. Diagnosis was delayed until symptoms of distal embolism occurred. It was repaired by graft replacement. (From Perry MO. The management of acute vascular injuries. Baltimore: Williams & Wilkins, 1981.) Journal of Vascular Surgery , DOI: ( / (93)90424-K) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions
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Fig. 2 Shotgun wounds can be particularly destructive, and physical examination is often misleading because of extensive injuries. Palpable pedal pulses were present despite this wound of superficial femoral artery (arrow). (From Perry MO. The management of acute vascular injuries. Baltimore: Williams & Wilkins, 1981.) Journal of Vascular Surgery , DOI: ( / (93)90424-K) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions
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Fig. 3 Stab wound of the thigh caused this false aneurysm of deep femoral artery (arrow). Diagnosis was made several months later when a painful mass appeared. (From Perry MO. The management of acute vascular injuries. Baltimore: Williams & Wilkins, 1981.) Journal of Vascular Surgery , DOI: ( / (93)90424-K) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions
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Fig. 4 Despite transection of brachial artery by a bullet (arrow), patient had palpable pulses at the wrist. Collateral circulation around the elbow is often effective in preserving adequate distal blood flow. Journal of Vascular Surgery , DOI: ( / (93)90424-K) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions
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Fig. 5 Emboli to the hand led to discovery of this false aneurysm of left subclavian artery (arrow). Stab wound in the supraclavicular space 7 months previously was cause of injury. Journal of Vascular Surgery , DOI: ( / (93)90424-K) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions
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Fig. 6 This false aneurysm (large arrow) and distal dissection (small arrow) of internal carotid artery was found 6 months after a vehicle accident. Pain and swelling led to diagnosis. (From Perry MO. Carotid injuries. In: Veith FJ, ed. Current critical problems in vascular surgery. St. Louis: Quality Medical Publishing, 1989:467.) Journal of Vascular Surgery , DOI: ( / (93)90424-K) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions
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