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J Acute Care Surg > Volume 11(3); 2021 > Article
Journal of Acute Care Surgery 2021;11(3):141-144.
DOI: https://doi.org/10.17479/jacs.2021.11.3.141    Published online November 23, 2021.
Transection of the Common Carotid and Vertebral Arteries Following a Penetrating Neck Injury
Eun Ji Lee  , Hojong Park  , Kyu Hyouck Kyoung  , Sang Jun Park 
Department of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
Correspondence:  Eun Ji Lee,
Email: hjpark@uuh.ulsan.kr
Received: 13 August 2021   • Revised: 2 September 2021   • Accepted: 3 September 2021
Abstract
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.
Key Words: carotid arteries, neck injuries, stroke
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