Traumatic Common Carotid Artery Transection: A Case Report of Primary Carotid Artery Repair with Sur

In Malaysia, total transection of the common carotid artery is a rare surgical emergency. Despite quick effective treatment, it is typically accompanied with substantial neurological morbidity and high mortality, despite its rarity. It remained a difficulty for all general surgeons handling patients in areas where vascular surgeons are few.

We present a case of traumatic common carotid artery transection with prolonged hours of compromised ipsilateral carotid-cerebral blood flow, but adequate contralateral carotid flow and intact Circle of Willis during intraoperative assessment, who underwent primary transected carotid artery repair in the event of attempted murder and had a successful outcome with no neurological sequelae.

The relevance of contralateral carotid inflow partnering with an intact Circle of Willis was underlined in this case study.

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