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Traumatic disruption of bilateral vertebral arteries and internal carotid arteries: case report
I Fukuda1, K Meguro, S Matsusita
1Department of Cardiovascular Surgery, Tsukuba Medical Center Hospital, Japan.
The Journal of Trauma
|February 1, 1989
Insights
Traumatic arterial injury required surgical ligation of bilateral vertebral and carotid arteries. Anticoagulant therapy was administered to prevent blood clots in the dissected arteries.
Area of Science:
- Vascular Surgery
- Trauma Surgery
- Neuroendovascular
Background:
- Traumatic injuries to major head and neck arteries pose significant management challenges.
- Bilateral vertebral artery and internal carotid artery involvement presents a complex clinical scenario.
Observation:
- A case involving traumatic disruption and dissection of bilateral vertebral arteries and internal carotid arteries is presented.
- Active bleeding necessitated immediate surgical intervention through ligation of the affected arteries.
Findings:
- Ligation of bilateral vertebral and internal carotid arteries was successfully performed to control hemorrhage.
- Post-operative anticoagulant therapy was initiated to mitigate risks of thromboembolism and occlusion in the dissected vessels.
Implications:
- This case highlights the critical role of prompt surgical management in severe cervical arterial trauma.
- Anticoagulant therapy is crucial for preventing secondary ischemic complications following arterial repair or ligation.
- Effective management strategies are essential for improving outcomes in patients with complex head and neck vascular injuries.
Abstract:
A case of traumatic disruption and dissection of the bilateral vertebral arteries and internal carotid arteries is reported. Ligation of bilateral arteries was performed for active bleeding. Anticoagulant therapy was selected to prevent thromboembolism and thrombotic occlusion of the dissected internal carotid arteries.