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| Annu Babu,Harshit Garg,Sushma Sagar,Amit Gupta,Subodh Kumar.[J].Chin J Traumatol,2017,20(1):56-58. [doi] |
| Penetrating neck injury: Collaterals for another life after ligation of commoncarotid artery and subclavian artery |
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| DOI： |
| KeyWord: Common carotid arteryCollateralsNeck injurySubclavian artery |
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| Author Name | Affiliation | | Annu Babu | Department of Surgery, JPN Apex Trauma Centre, All India Institute of Medical Science, New Delhi, India | | Harshit Garg | Department of Surgery, JPN Apex Trauma Centre, All India Institute of Medical Science, New Delhi, India | | Sushma Sagar | Department of Surgery, JPN Apex Trauma Centre, All India Institute of Medical Science, New Delhi, India | | Amit Gupta | Department of Surgery, JPN Apex Trauma Centre, All India Institute of Medical Science, New Delhi, India | | Subodh Kumar | Department of Surgery, JPN Apex Trauma Centre, All India Institute of Medical Science, New Delhi, India |
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| Abstract: |
| Neck, being not protected by skeleton, is vulnerable to external trauma and injury which involves blood vessels, trachea, esophagus and other endocrine and nervous system organs. Vascular injuries can not only cause potentially life-threatening hemorrhage but also need profound surgical expertise in management. Development of collateral circulation in neck is well known; however, there is scarcity of literature on the role of collateral formation in neck trauma. Here, we present a unique case of penetrating gunshot injury to neck with right common carotid and right subclavian artery injury with hemorrhagic shock managed with ligation of these vessels as a life-saving procedure. The patient presented with no neurological or motor deficits in immediate postoperative period owing to the collateral circulation between right vertebral artery and right common carotid and right subclavian artery. |
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