Buchman, Robert J.; Thomas Jr., Paul A.; Park, Benjamin
February 1972
Angiology;Feb1972, Vol. 23 Issue 2, p97
Academic Journal
Injuries to the carotid arteries comprise five percent of vascular injuries in Viet Nam. Fifteen patients have been evaluated at Valley Forge General Hospital following carotid artery injury in Viet Nam. Two patients were hemiparetic following injury and remained so following repair. Twelve of the remaining thirteen patients had an eventual good result although a second operation was required in five instances. Of the patients without neurologic deficit immediately following injury, all except one had a successful outcome. In this case, a false aneurysm developed which could not technically be repaired, necessitating ligation of the internal carotid artery with subsequent hemiplegia. Initial treatment consisted of primary anastomosis in six, lateral suture in three, vein graft in four and ligation in one. Subsequent surgery included thromboctomy, ligation, closure of arteriovenous fistula and in two patients, aorto-carotid bypass.


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