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A chip off the old block!

R Allott1, A R Naylor

  • 1Department of Vascular Studies, Leicester Royal Infirmary, UK.

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
|February 6, 2007
PubMed
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A penetrating neck injury led to a false aneurysm of the common carotid artery (CCA) caused by an embedded granite foreign body. Remarkably, the patient avoided stroke despite the highly thrombogenic stone surface, suggesting unique healing or emboli-free outcomes.

Area of Science:

  • Vascular Surgery
  • Trauma Surgery
  • Neurosurgery

Background:

  • Penetrating neck trauma can cause arterial injury, including false aneurysms.
  • Foreign bodies in arteries pose risks of embolization and thrombosis.
  • Common carotid artery (CCA) injuries require prompt and effective management.

Observation:

  • A 35-year-old male presented with a false aneurysm of the CCA 9 months post-penetrating neck injury.
  • Exploration revealed a 5mm granite fragment embedded in the CCA wall with endothelialization.
  • The patient had no history of stroke, despite the presence of a thrombogenic foreign body.

Findings:

  • Surgical management involved segmental resection of the CCA and reconstruction with an interposition vein graft.
  • The embedded granite foreign body was successfully removed.

Related Experiment Videos

  • The absence of thromboembolism was a notable clinical feature.

    • Implications:

    • This case highlights the potential for delayed complications from retained foreign bodies after penetrating trauma.
    • The endothelialization over the granite suggests a unique host response or limited thrombogenicity in situ.
    • Further research into foreign body-induced vascular injuries and their long-term sequelae is warranted.