1.Clavicle Fracture and Subclavian Vessels Disruption with Massive Haemothorax Mimic Intrathoracic Injury
Wan Ismail Faisham ; Paiman Mohammad ; Haron Juhara ; Nik Mahdi Munirah ; Hassan Shamsulkamaruljan ; Ghazali Mohamad Ziyadi
Malaysian Journal of Medical Sciences 2011;18(2):74-77
We report a case of open fracture of the clavicle with subclavian artery and vein laceration and
perforation of the parietal pleural below the first rib that caused massive haemothorax. Emergency
thoracotomy and exploration followed by repair of both vessels were able to salvage the patient and
the extremity.
2.Epidemiology of surgically treated patient in road traffic accident with lower extremity vascular injury from a single centre in Kelantan
Koh Siang Chai ; Wan Faisham Nu&rsquo ; man Wan Ismail ; Siti Fatimah Noor Mat Johar ; Wan Azman Wan Sulaiman ; Mohammad Paiman ; Arman Zaharil Mat Saad
The Medical Journal of Malaysia 2020;75(3):292-294
Introduction: Lower extremity vascular injury can result in
either temporary or permanent disability.
Methods: This is a clinical audit involving all patients
admitted to our institution from January 2008 to June 2018
of those who had undergone revascularization surgery for
lower limb trauma.
Results: Fifty-nine patients were in this study with a mean
age of 28.1 years. Most of the patients were motorcyclist
involved in road traffic accidents with cars (n=30, 50.8%).
The popliteal artery was most commonly seen injury (n=41,
69.5%). The mean duration of ischaemia was 14.1 hours. The
limb salvage rate was 89.8%.
Conclusion: Lower extremity vascular injury caused by RTA
treated in our institution predominantly involved young
patients aged between 18–30 years associated with long
bone fractures causing contusion and thrombosis of the
popliteal artery.