Successful salvage of a crushed upper limb and reconstruction of brachial artery injury using a saphenous venous graft

A crushed upper limb presents a rare entity seen in trauma patients, often resulting in a significant functional disability. We report a case of a 28-year-old male patient who presented with a crush injury to his upper limb after sustaining a motor vehicle accident. Computed tomography angiography showed an abrupt cutoff of the brachial artery proximal to the elbow joint with no contrast filling distally. Revascularization was successfully done using a saphenous venous graft. This case describes a successful revascularization attempt beyond the golden 6 hours.