Document Detail


Penetrating popliteal artery injuries in children.
MedLine Citation:
PMID:  3183905     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Two children, aged 8 and 12, were seen recently at the Vanderbilt University Medical Center and Metropolitan Nashville General Hospital with gunshot injury to the popliteal artery. Both patients presented with late complications following missed penetrating injury to the popliteal artery. At presentation, distal pulses were palpable despite significant proximal arterial injury. Arteriography detailed traumatic popliteal artery aneurysms in both children, and an arteriovenous fistula in one child. These two children represent the youngest patients recorded in the surgical literature with gunshot trauma to the popliteal artery, subsequent formation of traumatic aneurysms, and an arteriovenous fistula. The increasing availability of guns and rifles in the household will likely increase the incidence of such injuries to children. As evidenced by these children, palpable pulses distal to an injury do not obviate the need for arteriography when arterial injury is suspected. Autogenous repair of the injured artery or reconstruction with autogenous vein graft is preferable for repair of vascular injuries in children.
Authors:
G W Holcomb; P W Meacham; R H Dean
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  23     ISSN:  0022-3468     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  1988 Sep 
Date Detail:
Created Date:  1988-11-28     Completed Date:  1988-11-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  859-61     Citation Subset:  IM    
Affiliation:
Department of Surgery, Vanderbilt University Medical Center, Nashville, TN 37232.
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MeSH Terms
Descriptor/Qualifier:
Aneurysm / etiology
Child
Humans
Male
Popliteal Artery / injuries*,  surgery
Wounds, Penetrating / complications,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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