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Cirujano general
Print version ISSN 1405-0099
Abstract
SOTO GRANADOS, Mauro. Left common carotid artery injury due to firearm projectile. Case report and review of literature. Cir. gen [online]. 2017, vol.39, n.2, pp.105-109. ISSN 1405-0099.
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.
Keywords : Common carotid; vascular injury; firearm projectile.