• Neurol. Med. Chir. (Tokyo) · Jul 2009

    Case Reports

    Emergent surgical repair for penetrating injury of the cervical carotid artery associated with shock.

    • Yoshie Hara, Haruo Yamashita, Kohei Ohta, Syuichi Kozawa, and Masahiko Nakamura.
    • Department of Neurosurgery, Hyogo Emergency Medical Center and Kobe Red Cross Hospital, Kobe, Hyogo, Japan. y-hara@kobe.jrc.or.jp
    • Neurol. Med. Chir. (Tokyo). 2009 Jul 1;49(7):300-2.

    AbstractA 41-year-old male presented with penetrating carotid artery injury after being stabbed in the left neck with a knife. He had profuse bleeding from the wound and was in hemorrhagic shock. No neuroimaging evaluation was possible, so emergent surgery was begun with continuous manual compression of the left neck. Graft reconstruction of the injured carotid artery was performed. He recovered well without neurological deficits. Urgent hemostasis is required for patients with penetrating carotid artery injury presenting with shock. Surgical reconstruction of the carotid artery with a vascular graft is a safe option.

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