Gunshot Injury to the Tibioperoneal Trunk Repaired with Non-reversed Bifurcated Greater Saphenous Vein Interposition Graft: A Case Report

An acute occlusion of the tibio-peroneal trunk, due to gunshot wound injury in a young woman is presented. Delineation of the injury was determined during wound exploration. The wounded vessel was resected and arterial reconstruction was achieved by contralateral non-reversed greater saphenous vein graft interposition pretreated with blind valvulotomy. A large venous tributary allowed a bifurcated graft to be constructed. This case describes the technique of bifurcated non-reversed venous grafting, which has not been reported in an acute trauma scenario. The advantages of the method are discussed.