The article presents a case of surgical treatment of the consequences of damage of the axillary artery on the left arm of a 3 year old child 2 months after the wound of the left axillary region. The patient, after a comprehensive examination, without technical difficulties, was performed subclavian - brachial autovenous shunting, neurolysis of the brachial plexus and median nerve of the left upper limb. In the early postoperative period, the pulsation on the left forearm arteries is clear. On the control ultrasound dopplerography of the vessels of the left upper extremity, the main anti-hail flow was noted