Transection of the Common Carotid and Vertebral Arteries Following a Penetrating Neck Injury

A case of a 30-year-old man who was admitted following a penetrating neck injury is presented. A clinical examination and operative findings identified semi-comatose mentality, neck muscle laceration, and transection of the left common carotid and vertebral arteries and the internal jugular vein. Du...

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Main Authors: Eun Ji Lee, Hojong Park, Kyu Hyouck Kyoung, Sang Jun Park
Format: Article
Language:English
Published: Korean Society of Acute Care Surgery 2021-11-01
Series:Journal of Acute Care Surgery
Subjects:
Online Access:http://www.jacs.or.kr/upload/pdf/jacs-2021-11-3-141.pdf
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author Eun Ji Lee
Hojong Park
Kyu Hyouck Kyoung
Sang Jun Park
author_facet Eun Ji Lee
Hojong Park
Kyu Hyouck Kyoung
Sang Jun Park
author_sort Eun Ji Lee
collection DOAJ
description A case of a 30-year-old man who was admitted following a penetrating neck injury is presented. A clinical examination and operative findings identified semi-comatose mentality, neck muscle laceration, and transection of the left common carotid and vertebral arteries and the internal jugular vein. During the operation, the carotid arteries were repaired by interposition grafting, and the internal jugular vein was ligated. The vertebral artery was managed by interventional embolization. Although the patient had some neurological deficit, he was discharged on postoperative Day 52. This surgical case prompted a discussion regarding neurological outcomes, and surgical and endovascular treatment following vascular neck injury.
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spelling doaj.art-871a0be21110474eb6d2fe16a89136ef2023-09-18T23:59:41ZengKorean Society of Acute Care SurgeryJournal of Acute Care Surgery2288-58622288-95822021-11-0111314114410.17479/jacs.2021.11.3.141232Transection of the Common Carotid and Vertebral Arteries Following a Penetrating Neck InjuryEun Ji Lee0Hojong Park1Kyu Hyouck Kyoung2Sang Jun Park3Department of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, KoreaDepartment of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, KoreaDepartment of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, KoreaDepartment of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, KoreaA case of a 30-year-old man who was admitted following a penetrating neck injury is presented. A clinical examination and operative findings identified semi-comatose mentality, neck muscle laceration, and transection of the left common carotid and vertebral arteries and the internal jugular vein. During the operation, the carotid arteries were repaired by interposition grafting, and the internal jugular vein was ligated. The vertebral artery was managed by interventional embolization. Although the patient had some neurological deficit, he was discharged on postoperative Day 52. This surgical case prompted a discussion regarding neurological outcomes, and surgical and endovascular treatment following vascular neck injury.http://www.jacs.or.kr/upload/pdf/jacs-2021-11-3-141.pdfcarotid arteriesneck injuriesstroke
spellingShingle Eun Ji Lee
Hojong Park
Kyu Hyouck Kyoung
Sang Jun Park
Transection of the Common Carotid and Vertebral Arteries Following a Penetrating Neck Injury
Journal of Acute Care Surgery
carotid arteries
neck injuries
stroke
title Transection of the Common Carotid and Vertebral Arteries Following a Penetrating Neck Injury
title_full Transection of the Common Carotid and Vertebral Arteries Following a Penetrating Neck Injury
title_fullStr Transection of the Common Carotid and Vertebral Arteries Following a Penetrating Neck Injury
title_full_unstemmed Transection of the Common Carotid and Vertebral Arteries Following a Penetrating Neck Injury
title_short Transection of the Common Carotid and Vertebral Arteries Following a Penetrating Neck Injury
title_sort transection of the common carotid and vertebral arteries following a penetrating neck injury
topic carotid arteries
neck injuries
stroke
url http://www.jacs.or.kr/upload/pdf/jacs-2021-11-3-141.pdf
work_keys_str_mv AT eunjilee transectionofthecommoncarotidandvertebralarteriesfollowingapenetratingneckinjury
AT hojongpark transectionofthecommoncarotidandvertebralarteriesfollowingapenetratingneckinjury
AT kyuhyouckkyoung transectionofthecommoncarotidandvertebralarteriesfollowingapenetratingneckinjury
AT sangjunpark transectionofthecommoncarotidandvertebralarteriesfollowingapenetratingneckinjury