title: Multidetector CT angiography influences the choice of treatment for blunt carotid artery injury.
abstract: A 43-year-old woman presented with a 2 h history of left neck pain after striking her neck against a marble bench while playing with her son. The patient was screened for blunt cerebrovascular injury (BCVI) and a left carotid bruit was identified. Subsequently, she underwent multidetector CT angiography (MCTA) of the aortic arch and neck vessels, which demonstrated a flow-limiting dissection of the left common carotid artery (CCA). The patient was started on heparin infusion and underwent an emergency operation. At surgery, a circumferential intimal dissection was excised and the arteriotomy defect closed with an autologous venous patch. This case emphasises the importance of adequately examining patients with direct injury to the neck, screening relevant patients for BCVI and investigating them with MCTA that influences the choice of a treatment option.
authors.affiliation: Department of General Surgery, Auckland City Hospital, Auckland, New Zealand.
authors.forename: Andrei M
authors.initials: AM
authors.lastname: Beliaev
authors.affiliation: Department of Trauma Service, Auckland City Hospital, Auckland, New Zealand.
authors.forename: Ian
authors.initials: I
authors.lastname: Civil
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery; D020212:Carotid Artery Injuries / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000601:surgery; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000601:surgery; D002533:Cerebral Angiography; D020214:Cerebrovascular Trauma / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D006801:Humans; D019838:Neck Injuries / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging*
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