title: Penetrating neck injury: Collaterals for another life after ligation of common carotid artery and subclavian artery.
abstract: Neck, being not protected by skeleton, is vulnerable to external trauma and injury which involves blood vessels, trachea, esophagus and other endocrine and nervous system organs. Vascular injuries can not only cause potentially life-threatening hemorrhage but also need profound surgical expertise in management. Development of collateral circulation in neck is well known; however, there is scarcity of literature on the role of collateral formation in neck trauma. Here, we present a unique case of penetrating gunshot injury to neck with right common carotid and right subclavian artery injury with hemorrhagic shock managed with ligation of these vessels as a life-saving procedure. The patient presented with no neurological or motor deficits in immediate postoperative period owing to the collateral circulation between right vertebral artery and right common carotid and right subclavian artery.
authors.affiliation: Department of Surgery, JPN Apex Trauma Centre, All India Institute of Medical Science, New Delhi, India.
authors.forename: Annu
authors.initials: A
authors.lastname: Babu
authors.affiliation: Department of Surgery, JPN Apex Trauma Centre, All India Institute of Medical Science, New Delhi, India.
authors.forename: Harshit
authors.initials: H
authors.lastname: Garg
authors.affiliation: Department of Surgery, JPN Apex Trauma Centre, All India Institute of Medical Science, New Delhi, India.
authors.forename: Sushma
authors.initials: S
authors.lastname: Sagar
authors.affiliation: Department of Surgery, JPN Apex Trauma Centre, All India Institute of Medical Science, New Delhi, India.
authors.forename: Amit
authors.initials: A
authors.lastname: Gupta
authors.affiliation: Department of Surgery, JPN Apex Trauma Centre, All India Institute of Medical Science, New Delhi, India. Electronic address: subodh6@gmail.com.
authors.forename: Subodh
authors.initials: S
authors.lastname: Kumar
mesh_terms: D000328:Adult; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008026:Ligation; D008297:Male; D019838:Neck Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D014057:Tomography, X-Ray Computed; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging / Q000601:surgery*
keywords: Collaterals; Common carotid artery; Neck injury; Subclavian artery