Successful management of a common carotid artery injury using a Pruitt-F3 Carotid Shunt: a case reportopen access
- Authors
- Choi, Kang Kook; Cho, Jayun; Lee, Min A; Eun, Soo Min; Jeon, Yang Bin
- Issue Date
- Aug-2022
- Publisher
- 대한외상학회
- Keywords
- Penetrating wounds; Neck injuries; Carotid artery injuries; Cerebral infarction; Case reports
- Citation
- 대한외상학회지, v.35, pp.3 - 7
- Journal Title
- 대한외상학회지
- Volume
- 35
- Start Page
- 3
- End Page
- 7
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/85348
- DOI
- 10.20408/jti.2021.0032
- ISSN
- 1738-8767
- Abstract
- Penetrating neck injuries are a surgical challenge. In particular, penetrating neck injuries associated with carotid artery injuries have a high mortality rate. Overt external hemorrhage is unanimously considered as an indication for surgical exploration. The authors present a case of successful surgical management for a penetrating common carotid artery injury using a Pruitt-F3 Carotid Shunt (LeMaitre Vascular Inc., Burlington, MA, USA) in a 60-year-old male patient who was transferred to the level 1 trauma center due to a metal fragment piercing his neck while working. Active pulsatile bleeding was observed from the 3-cm-long external wound on the anterior neck in zone II. Emergent neck exploration showed near-total transection of the left common carotid artery just below the carotid bifurcation. After a Pruitt-F3 Carotid Shunt was applied to the injured carotid artery as a temporary vascular shunt, artificial graft interposition was performed for the injured common carotid artery. The patient experienced cerebral infarction as a complication caused by ischemia-reperfusion of the common carotid artery but was discharged in a suitable state for rehabilitation therapy.
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