Successful management of a common carotid artery injury using a Pruitt-F3 Carotid Shunt: a case report
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 sur...
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Language: | English |
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Korean Society of Traumatology
2022-08-01
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Series: | Journal of Trauma and Injury |
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Online Access: | http://jtraumainj.org/upload/pdf/jti-2021-0032.pdf |
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author | Kang Kook Choi Jayun Cho Min A Lee Soo Min Eun Yang Bin Jeon |
author_facet | Kang Kook Choi Jayun Cho Min A Lee Soo Min Eun Yang Bin Jeon |
author_sort | Kang Kook Choi |
collection | DOAJ |
description | 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. |
format | Article |
id | doaj-art-ab314514502040fb81f9407921475bc2 |
institution | Kabale University |
issn | 2799-4317 2287-1683 |
language | English |
publishDate | 2022-08-01 |
publisher | Korean Society of Traumatology |
record_format | Article |
series | Journal of Trauma and Injury |
spelling | doaj-art-ab314514502040fb81f9407921475bc22025-01-16T04:51:18ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832022-08-0135Suppl 1S3S710.20408/jti.2021.00321120Successful management of a common carotid artery injury using a Pruitt-F3 Carotid Shunt: a case reportKang Kook Choi0Jayun Cho1Min A Lee2Soo Min Eun3Yang Bin Jeon4 Department of Traumatology, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Traumatology, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Traumatology, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Traumatology, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Traumatology, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, KoreaPenetrating 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.http://jtraumainj.org/upload/pdf/jti-2021-0032.pdfpenetrating woundsneck injuriescarotid artery injuriescerebral infarctioncase reports |
spellingShingle | Kang Kook Choi Jayun Cho Min A Lee Soo Min Eun Yang Bin Jeon Successful management of a common carotid artery injury using a Pruitt-F3 Carotid Shunt: a case report Journal of Trauma and Injury penetrating wounds neck injuries carotid artery injuries cerebral infarction case reports |
title | Successful management of a common carotid artery injury using a Pruitt-F3 Carotid Shunt: a case report |
title_full | Successful management of a common carotid artery injury using a Pruitt-F3 Carotid Shunt: a case report |
title_fullStr | Successful management of a common carotid artery injury using a Pruitt-F3 Carotid Shunt: a case report |
title_full_unstemmed | Successful management of a common carotid artery injury using a Pruitt-F3 Carotid Shunt: a case report |
title_short | Successful management of a common carotid artery injury using a Pruitt-F3 Carotid Shunt: a case report |
title_sort | successful management of a common carotid artery injury using a pruitt f3 carotid shunt a case report |
topic | penetrating wounds neck injuries carotid artery injuries cerebral infarction case reports |
url | http://jtraumainj.org/upload/pdf/jti-2021-0032.pdf |
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