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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2010 December;23(6):297-9
Chemical injury of brachial artery: case report
Magalhães Ferreira J.M. 1, Pias Canedo M.A. 1, Martins V. 1, Maia M. 1, Guimarães J. 2, Brandão Fernandes J. D. 1, Pereira Braga S. M. 1, Coutinhovasconcelos J. F. 1, Vaz A.G. 1
1 Department of Angiology and Vascular Surgery Centro Hospitalar de Vila Nova de Gaia/Espinho Portugal
2 Department of Plastic Surgery, Centro Hospitalar de Vila Nova de Gaia/Espinho, Portugal
In the United States is reported 25 000-100 000 chemical burns per year, which results in approximately 20 deaths per year. Sulphuric acid is one of the agents most often involved. The aim of this paper is to report a chemical injury of braquial artery. A 41-year-old man was admitted with a third degree sulphuric acid burn in the middle third of the left arm. The radial and ulnar arteries were palpable. At the 20th day after the injury, haemorrhage was noted and spontaneous disruption of braquial artery was clear. A braquial-radial reversed saphenous vein interposition graft was immediately performed. After surgery a palpable radial and ulnar pulses were present.
This case stresses the importance of a permanent observation of a patient with a sulphuric acid burn. The continuous corrosive properties of the sulphuric acid, caused injury at braquial artery, not at the admission, but 20 days after the skin contact.