J Trauma Inj.  2022 Aug;35(Suppl 1):S3-S7. 10.20408/jti.2021.0032.

Successful management of a common carotid artery injury using a Pruitt-F3 Carotid Shunt: a case report

• Choi KK
• Cho J
• Lee MA
• Eun SM
• Jeon YB

• KMID: 2540377
• DOI: http://doi.org/10.20408/jti.2021.0032

Abstract

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.

Keyword

Penetrating wounds; Neck injuries; Carotid artery injuries; Cerebral infarction; Surgical anastomosis; Case report