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ISSN 2594-1518 (Electronic)
ISSN 1405-0099 (Print)

2017, Number 2

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Cir Gen 2017; 39 (2)

Left common carotid artery injury due to firearm projectile. Case report and review of literature

Soto GM

Language: Spanish
References: 9
Page: 105-109
PDF size: 193.18 Kb.


ABSTRACT

Penetrating injuries of the common carotid artery are rare and despite the progress made in terms of diagnosis and treatment continue to have a high mortality. They are located in zone I of the neck which require cervical incision, and also a median sternotomy for correct exposure and adequate proximal and distal vascular control. The contemporary increasing trauma seems to indicate that the occurrence of these injuries will increase, primarily in rural and suburban areas away from centers specializing in trauma, so it is appropriate that general surgeons increase their relevant training. We report a case of partial cross section of the left common carotid artery caused low speed gun fire, successfully treated a Level II Military Hospital, being necessary to resect the proximal third of the clavicle to achieve adequate exposure and repair of the lesion, in addition, we review the salient aspects of diagnosis and treatment of these injuries.


REFERENCES

  1. Kumar RS, Weaver AF, Yellin EA. Cervical vascular injuries: carotid and jugular venous injuries. Surg Clin North Am. 2001; 81: 1332-1344.

  2. Luna OK, Martínez LM, Carmona LT, Cruz RJM, Núñez TLA, Araiza AG. Lesión inusual de la arteria carótida común por proyectil de arma de fuego de baja velocidad: Reporte de caso. Cir Gen. 2008; 30: 48-50.

  3. Marín PJ, Mamani JD, García OH. Manejo quirúrgico del trauma vascular en su fase aguda. Rev Chil Cir. 2003; 55: 30-37.

  4. Hoyt BD, Coimbra R, Potenza MB, Rappold FJ. Anatomic exposures for vascular injuries. Surg Clin North Am. 2001; 81: 1299-1329.

  5. Millán HM, Gómez BJ, Hernández HJ, Duhalde SI. Manejo del trauma penetrante cervical de Zona II. Hospital Clínico Regional Valdivia. Serie de casos clínicos. Cuad Cir. 2008; 22: 11-17.

  6. Garcia-Núñez LM, Soto-Ortega LE, Delgado-Arámburo JLG, Cabello-Pasini R, Macías-Millán JA, Núñez-Cantú O. Tratamiento operatorio de las lesiones vasculares carotídeas (Estudio TOLVAC I): cómo abreviar el tiempo de isquemia distal. Rev Sanid Milit Mex. 2009; 63: 1-8.

  7. Abad S, McHenry DSI, Carter ML, Mitchell AD. Carotid artery injury from an airgun pellet: a case report and review of the literature. Head Face Medicine. 2009; 5: 3.

  8. Hara Y, Yamashita H, Ohta K, Kosawa S, Nakamura N. Emergent surgical repair for Penetrating Injury of the cervical carotid artery associated with shock. Neurol Med Chir. 2009; 49: 300-302.

  9. Galvis VR, Medina VF. Manejo endovascular de lesiones traumáticas de carótida en el cuello. Rev Colomb Radiolog. 2007; 18: 2122-2127.




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