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KMID : 1144620220350000003
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Journal of Trauma and Injury
2022 Volume.35 No. 0 p.3 ~ p.7
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Successful management of a common carotid artery injury using a Pruitt-F3 Carotid Shunt: a case report
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Choi Kang-Kook
Cho Ja-Yun
Lee Min-A
Eun Soo-Min
Jeon Yang-Bin
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Abstract
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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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KEYWORD
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Penetrating wounds, Neck injuries, Carotid artery injuries, Cerebral infarction, Case reports
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