Surgical treatment for traumatic transection of left common carotid artery.
Injury to the supraaortic artery is a rare event, with poor prognosis and high mortality. Improvement of the outcome may lie on the combination of several aspects, including better pre-hospital care, use of emergency cardiopulmonary bypass (CPB), improved surgical techniques and facilities, and advanced postoperative intensive care. Some researchers emphasized the importance of emergency CPB in the treatment and thought that it was responsible mainly for the improved outcome. However, there exists controversies about it. In this article, we reported that a patient with life-threatening hemorrhage due to traumatic transection of the left common carotid artery, who was admitted to our hospital in July 2003, was treated successfully with operations with help of emergency CPB and systemic hypothermia.
Zhong
Qian-jin
QJ
Department of Cardiovascular Surgery, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, China.
Xiao
Ying-bin
YB
Peng
Li
L
Hao
Jia
J
An
Yong
Y
Ma
Rui-yan
RY
D000062:Accidents, Occupational; D000328:Adult; D000714:Anastomosis, Surgical; D000792:Angiography / Q000379:methods; D002315:Cardiopulmonary Bypass / Q000379:methods; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging* / Q000601:surgery*; D017536:Carotid Artery, Common; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D018570:Risk Assessment; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*