Firearm Injury to the Carotid Axis; Surgical Repair with Autologous Graft: Case Report

Rodríguez-Sosa SH, Hernández-Luna EE, Rubio-Zapata HA, Pérez-Castillo E, Echevarría- Fernández F, Rosado-Montero M de A, Padrón-Arredondo Guillermo and Calderon-Lopez AN

Hospital Clinic of the Institute of Social Security and Services for State Workers, Mérida, Yucatán, México General Hospital of Playa del Carmen, Quintana Roo, México Faculty of Medicine, Autonomous University of Yucatán, Yucatán, México Medical Intern of Social Service, DIF Cancun

^*Correspondance to: Sergio Heinar Rodríguez-Sosa 

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Abstract:

Introduction: Between 6% to 20% of penetrating neck traumas produce injuries to the carotid arteries. 4% to 17% of these traumas are caused by firearms. Mortality due to damage to the carotid arteries is high, between 15% and 25%, mainly due to massive hemorrhage. Clinical Case: A 15-year-old female patient, with no clinical history of relevance to the case, who began to suffer from a gunshot wound to the cervical and face, with unknown trauma kinematics, was admitted to the shock area with hemodynamic instability; she had a circular wound in the right mandibular region, a neck with a right cervical hematoma and a trachea deviation to the left. Initial management included intubation to maintain a patent airway and a central venous catheter. Laboratory tests were reported normal.

Keywords:

Firearm injury; Carotid axis; Surgical repair; Autologous graft

Cite the Article:

Rodríguez-Sosa SH, Hernández-Luna EE, Rubio-Zapata HA, Pérez-Castillo E, Echevarría-Fernández F, Rosado- Montero M de A, et al. Firearm Injury to the Carotid Axis; Surgical Repair with Autologous Graft: Case Report. World J Surg Surgical Res. 2024; 7: 1574..