613 Microsurgical Salvage of Neonatal Upper Limb Ischaemia Subsequent to Intrauterine Brachial Vessel Constriction

Abstract Introduction We report a case of limb salvage due to intra uterine brachial artery thrombosis. Treatment modalities include medical, endovascular, and surgical. Early recognition, prompt institution appropriate treatment monitoring is vital achieve successful revascularisation prevention lifelong morbidity. Description A male baby at (36 + 6week) gestation was born nulliparous mother with gestational diabetes via uncomplicated elective caesarean section. The child noted have ‘flail’ ischeamic post-delivery. There were no palpable pulses in the ultrasonography confirmed thrombosis proximal artery. Aetiology dense fibrotic circumferential constriction vessels plexus. Successful achieved contralateral interposition reversed great saphenous vein graft. Discussion Neonatal ischaemia rare disease entity devastating morbidity- including compartment syndrome, tissue loss, reduced growth, irreparable neuropathies Volkmann’s syndrome. initial diagnosis based on characteristic sequelae ischaemia. Therapy should be individualised clinical presentation.