Zenelaj, Arben University Hospital of Trauma - Surgery Department, Albania , Madani, Rasim University Hospital of Trauma - Surgery Department, Albania , Shalari, Engjellushe University Hospital of Trauma - Surgery Department, Albania

Reconstruction of Injured Carotid Artery in a Comatose Patient

23919

A man, 30 years old, was brought to the emergency department after being injured on the left side of the neck area. Massive bleeding from the wound caused by a glass was observed. The patient was in cerebral coma and hemorrhagic shock. The eye pupils remained isochoric during and after the operation. He was taken immediately at the surgery room. The bleeding was stopped by external compression. Exposure of the left neck blood vessels was carried out .The left common carotid artery and internal jugular vein injury was revealed. A provisory Pruitt-Inahara shunt was put in the carotid artery, while the injured vein was ligatured. The suture of the left common carotid artery using Prolen 6-0 completed the procedure. After the surgery the patient was transferred to the intensive care unit. About two hours later he woke up, conscious. The left thoracic drainage because of the hemothorax was applied in the second postoperative day. The patient was lively and left the hospital in the 14 postoperative day. The right facial paresis and mild left hemiparesis persisted. Two months after the event no residual neurologic deficits were observed.

598

Carotid , artery , injury , coma , patient

Cukurova Medical Journal

601