A 77 year old man quarantined with his COVID-19 positive family developed respiratory symptoms and attempted suicide. Trauma computed tomography showed multiple shot pellets in the chest and left arm (A, B); angiography was inconclusive because of metal artefact. Diminished radial and missing ulnar pulses were noted. Emergency surgery in a dedicated COVID-19 operation room showed a single penetration injury of the proximal brachial artery with thrombosis. Soft tissue exploration, Fogarty catheter thrombectomy, sutured arterial repair, and fasciotomy were performed. After COVID-19 confirmation, follow up imaging was omitted (palpable peripheral pulses and preserved upper limb function). The patient is stable, with intermittent nasal oxygen at the COVID-19 care unit.
Article info
Publication history
Published online: August 17, 2020
Accepted:
August 11,
2020
Received:
June 4,
2020
Identification
Copyright
© 2020 European Society for Vascular Surgery. Published by Elsevier B.V.
User license
Elsevier user license | How you can reuse 
Elsevier's open access license policy
Elsevier user license
Permitted
For non-commercial purposes:
- Read, print & download
- Text & data mine
- Translate the article
Not Permitted
- Reuse portions or extracts from the article in other works
- Redistribute or republish the final article
- Sell or re-use for commercial purposes
Elsevier's open access license policy
ScienceDirect
Access this article on ScienceDirectRelated Articles
Comments
Commenting Guidelines
To submit a comment for a journal article, please use the space above and note the following:
- We will review submitted comments as soon as possible, striving for within two business days.
- This forum is intended for constructive dialogue. Comments that are commercial or promotional in nature, pertain to specific medical cases, are not relevant to the article for which they have been submitted, or are otherwise inappropriate will not be posted.
- We require that commenters identify themselves with names and affiliations.
- Comments must be in compliance with our Terms & Conditions.
- Comments are not peer-reviewed.
30714-0&id=fx1.jpg){kind=link}