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Erfolgreiche chirurgische Revaskularisation nach 18stuendiger Ischaemie unterhalb des Knies infolge eines vollstaendigen Abrisses der A. politea = Successful surgical revasculatization after 18-h ischemia below the knee as a result of complete abruptio of the popliteal artery
Geršak, Borut ; Smrkolj, Vladimir, upokojen ; Gabrijelčič, Tone
We report the case of a 33-year-old man after knee luxation and discruption ofa popliteal artery, which was missed after repositioning at the first clinic. Eighteen hours later complete discontinuity ...of the popliteal artery was confirmed by arteriography and an immediate reversed, end-to-end auto-venous graft was interposed under general anesthesia with anterior and posterior fasciotomy prior to blood flow restoration. Forced diuresis with a diuretic mixture and balanced fluid intake were used, and the patient was discharged from the intensive care unit on the 10th postoperative day in good condition with normal diuresis.
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