Transection of the Common Carotid and Vertebral Arteries Following a Penetrating Neck Injury
10.17479/jacs.2021.11.3.141
- Author:
Eun Ji LEE
1
;
Hojong PARK
;
Kyu Hyouck KYOUNG
;
Sang Jun PARK
Author Information
1. Department of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
- Publication Type:Case Report
- From:
Journal of Acute Care Surgery
2021;11(3):141-144
- CountryRepublic of Korea
- Language:English
-
Abstract:
A case of a 30-year-old man who was admitted following a penetrating neck injury is presented. A clinical examination and operative findings identified semi-comatose mentality, neck muscle laceration, and transection of the left common carotid and vertebral arteries and the internal jugular vein. During the operation, the carotid arteries were repaired by interposition grafting, and the internal jugular vein was ligated. The vertebral artery was managed by interventional embolization. Although the patient had some neurological deficit, he was discharged on postoperative Day 52. This surgical case prompted a discussion regarding neurological outcomes, and surgical and endovascular treatment following vascular neck injury.