Gunshot wound to the trifurcation in an infant: Vein-graft repair with 27-year follow-up.

Noniatrogenic penetrating vascular injuries in the pediatric population are uncommon. Lower leg gunshot wounds with arterial injury in infants are exceedingly rare, and optimal management remains unclear. We present the case of an 11-month-old infant who sustained a gunshot wound to the trifurcation successfully repaired with a saphenous vein interposition graft. This case provides a long-term insight into vein-graft durability.