title: Successful Hybrid Treatment of a Traumatic Rupture of the Left Primitive Carotid Artery in a Polytraumatized Patient: A Case Report.
abstract: Traumatic injury of the left common carotid is a rare but severe disease, and is an uncommon situation in emergency units. Thoracic aortic lesions are often associated with other injuries, making their treatment challenging. We report the case of a successful hybrid approach to treat this lesion using a total supra aortic vessel debranching and a thoracic endovascular graft to cover the rupture, in a 38-year-old polytraumatized patient. After aortic, abdominal, and orthopedic surgery, the patient recovered well. The 1-year follow-up showed a good result of this hybrid treatment. This technique should be considered in polytraumatized patients with aortic arch lesions.
authors.affiliation: Department of Vascular Surgery, Hôpital Pitié Salpétrière, Paris, France. Electronic address: dorians@gmail.com.
authors.forename: Dorian
authors.initials: D
authors.lastname: Verscheure
authors.affiliation: Department of Vascular Surgery, Hôpital Pitié Salpétrière, Paris, France.
authors.forename: Julien
authors.initials: J
authors.lastname: Gaudric
authors.affiliation: Department of Vascular Surgery, Hôpital Pitié Salpétrière, Paris, France.
authors.forename: Clémence
authors.initials: C
authors.lastname: Jouhannet
authors.affiliation: Department of Vascular Surgery, Hôpital Pitié Salpétrière, Paris, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Chiche
authors.affiliation: Department of Vascular Surgery, Hôpital Pitié Salpétrière, Paris, France.
authors.forename: Fabien
authors.initials: F
authors.lastname: Koskas
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000601:surgery*; D000072226:Computed Tomography Angiography; D057510:Endovascular Procedures / Q000295:instrumentation; D006801:Humans; D008297:Male; D009049:Motorcycles; D009104:Multiple Trauma / Q000175:diagnosis / Q000209:etiology*; D011474:Prosthesis Design; D015607:Stents; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*