title: Emergent surgical repair for penetrating injury of the cervical carotid artery associated with shock.
abstract: A 41-year-old male presented with penetrating carotid artery injury after being stabbed in the left neck with a knife. He had profuse bleeding from the wound and was in hemorrhagic shock. No neuroimaging evaluation was possible, so emergent surgery was begun with continuous manual compression of the left neck. Graft reconstruction of the injured carotid artery was performed. He recovered well without neurological deficits. Urgent hemostasis is required for patients with penetrating carotid artery injury presenting with shock. Surgical reconstruction of the carotid artery with a vascular graft is a safe option.
authors.affiliation: Department of Neurosurgery, Hyogo Emergency Medical Center and Kobe Red Cross Hospital, Kobe, Hyogo, Japan. y-hara@kobe.jrc.or.jp
authors.forename: Yoshie
authors.initials: Y
authors.lastname: Hara
authors.forename: Haruo
authors.initials: H
authors.lastname: Yamashita
authors.forename: Kohei
authors.initials: K
authors.lastname: Ohta
authors.forename: Syuichi
authors.initials: S
authors.lastname: Kozawa
authors.forename: Masahiko
authors.initials: M
authors.lastname: Nakamura
mesh_terms: D000328:Adult; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D020212:Carotid Artery Injuries / Q000150:complications / Q000601:surgery*; D017536:Carotid Artery, Common / Q000601:surgery*; D004632:Emergency Medical Services / Q000379:methods; D006488:Hemostasis, Surgical / Q000379:methods; D006801:Humans; D008297:Male; D019838:Neck Injuries / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods; D012771:Shock, Hemorrhagic / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome; D014951:Wounds, Stab / Q000150:complications / Q000601:surgery*