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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Main Authors: Kang Kook Choi, Jayun Cho, Min A Lee, Soo Min Eun, Yang Bin Jeon
Format: Article
Language:English
Published: Korean Society of Traumatology 2022-08-01
Series:Journal of Trauma and Injury
Subjects:
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.
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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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