PMC9870015_01
Clinical Photo of patient on admission. There was marked swelling, bruising over bilateral forearms.
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There was no numbness over bilateral upper limbs (Figure 1).
CT Angiogram showed multiple pseudoaneurysms along radial and ulnar arteries.
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An urgent CT angiogram of the right forearm showed multiple pseudoaneurysms along radial and ulnar arteries (Figure 2).
15 cm segment of the radial artery was found to be thinned-wall and friable, with multiple sites of rupture (Blue arrows).
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Intraoperatively, a 15 cm segment of the radial artery was found to be thinned-wall and friable, with multiple sites of rupture (Figure 3).
Saphenous vein graft was harvest from left medial thigh.
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The pathological segment was excised and reconstructed with a saphenous vein graft (Figures 4 and 5).
The vein graft was used to reconstruct the vascular defect (Yellow segment).
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The pathological segment was excised and reconstructed with a saphenous vein graft (Figures 4 and 5).
Clinical Photo of patient's right forearm after skin grafting.
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The fasciotomy wounds were covered with full thickness skin graft six days after the index operation (Figure 6).