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

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Pages (from-to)492-496
Number of pages5
JournalJournal of Vascular Surgery Cases and Innovative Techniques
Volume5
Issue number4
DOIs
StatePublished - Dec 2019

Keywords

  • Arterial reconstruction
  • Pediatric vascular injury
  • Pelvic blunt trauma

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