Successful Surgical Management of a Traumatic Dissection of Internal Carotid Artery

Abstract

Introduction: Blunt carotid artery dissection is relatively rare and different from spontaneous dissections. Ischemic stroke is the main complication with high morbidity and mortality rates. Case report: We report the case of a 32 years old man who had a polytraumatic injury and was admitted in our emergency unit. Injuries of the head and a dissection of the right internal carotid artery were identified on CT. The patient was then successfully management and had surgical repair of right internal carotid artery and head injuries. Conclusion: Management of blunt carotid dissection is challenging; in fact, no guidelines are actually available. Treatment should be conducted quickly after trauma and could be conservative, endovascular or open.