Emergent surgical repair for penetrating injury of the cervical carotid artery associated with shock.
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.
Hara
Yoshie
Y
Department of Neurosurgery, Hyogo Emergency Medical Center and Kobe Red Cross Hospital, Kobe, Hyogo, Japan. y-hara@kobe.jrc.or.jp
Yamashita
Haruo
H
Ohta
Kohei
K
Kozawa
Syuichi
S
Nakamura
Masahiko
M
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*