Successful limb salvage using a fresh maternal great saphenous vein allograft for combined femoral artery and vein transection after gunshot injury in a child.

Riyad Mroueh, Hadi Farhat, Hussein Ezzeddine, Hassan Shouman, Jamal Hoballah

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Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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Authors and funding

5 authors.

Riyad MrouehFaculty of Medicine and Medical Sciences, University of Balamand, El Koura, Lebanon.

Hadi FarhatDepartment of General Surgery, University of Balamand, El Koura, Lebanon.

Hussein EzzeddineFaculty of Medicine and Medical Sciences, University of Balamand, El Koura, Lebanon.

Hassan ShoumanDepartment of Vascular Surgery, Al Raae Hospital, Ghazieh, Lebanon.

Jamal HoballahVascular Division, Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Major vascular trauma in children is rare and presents significant reconstructive challenges when autologous conduit options are limited. We report the case of a 2-year-old boy with a close-range shotgun injury causing complete transection and segmental loss of the superficial femoral artery and vein with associated open femoral fracture and acute limb ischemia. Because the child's great saphenous veins were unsuitable for reconstruction, a fresh maternal great saphenous vein allograft was used for arterial repair, whereas the femoral vein was ligated. Limb perfusion was successfully restored without immunosuppression. At 4-year follow-up, the limb remained viable and functional despite graft occlusion, owing to robust collateral arterial development.

Indexed as

Femoral artery and vein injuryGreat saphenous veinGunshot woundLimb salvageLiving-related vein allograftPediatric vascular trauma

Identifiers

PMID42502441

DOI10.1016/j.jvscit.2026.102365

PMCPMC13400253

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LicenceCC BY-NC-ND

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.