title: Successful repair of bilateral common carotid artery dissections from hanging.
abstract: The management of blunt carotid artery dissections caused by hanging remains controversial, especially with regard to diagnostic work-up and treatment options. We present 2 men, 49 and 41 years of age, who were treated for bilateral common carotid artery dissection caused by strangulation. In the first patient, additional cricotracheal separation and blunt thyroid gland trauma was observed. Bilateral saphenous vein graft interposition was accomplished in both patients. In the first patient, tracheal repair and suture of the thyroid gland completed the procedure. At 1 year of follow-up, both patients were capable of managing their lives independently. A systematic review of the literature on managing near-hanging and nonfatal strangulation victims is included in this report to allow this case series to be put into perspective.
authors: Department of Vascular and Endovascular Surgery, Paracelsus Medical University, Salzburg, Austria. Electronic address: m.aspalter@salk.at.
authors: Manuela
authors: M
authors: Aspalter
authors: Klaus
authors: K
authors: Linni
authors: Christoph M
authors: CM
authors: Domenig
authors: Nina
authors: N
authors: Mader
authors: Nikolaus
authors: N
authors: Klupp
authors: Thomas J
authors: TJ
authors: Hölzenbein
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001237:Asphyxia / Q000150:complications*; D020212:Carotid Artery Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012501:Saphenous Vein / Q000637:transplantation*; D013406:Suicide, Attempted; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*