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A reversed saphenous vein graft was then used to reestablish flow from the common carotid to the internal carotid artery.
Gunshot wound to mandible - lateral X-ray
Left carotid artery angiogram following gunshot wound
Carotid angiogram showing disruption of external and internal carotid arteries
Carotid angiogram showing disruption of external and internal carotid arteries
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Comments
Dr.Suhail yaqoob, July 12, 2007
Do we need to reverse the saphenous vein in the carotid arteries
hphela, Parkland Memorial Hospital, Dallas, TX, USA, July 15, 2007
Yes. The valves in the vein graft may still be competent.
Dr.Suhail yaqoob, July 16, 2007
Why should we reverse the vein in the carotid graft as the valves can obstruct the blood flow as it goes to the brain.
hphela, Parkland Memorial Hospital, Dallas, TX, USA, July 16, 2007
Anastomosing the proximal end of the saphenous vein to the proximal common carotid (or any other) artery would result in the valves obstructing flow. By reversing the vein graft (ie, anastomosing the distal end of the vein to the proximal common carotid stump)this effect is avoided.
Dr.Suhail yaqoob, July 17, 2007
Thanks for simplifying & helping me understand the things.
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Those images are very clear for study. I’m not related with medical education but I think dealing such operation is not easy task. Thanks
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annashelle, May 18, 2012
As a student of medical college I highly appreciate those pictures of operation. I know how hard to do this type of operation. By the way thanks for this post. 
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Nil Jhonson, May 21, 2012
Thanks for sharing such kind of operation pictures. As a doctor I know how carefully need to do this type of hard operation. Thanks for sharing.
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Damin martin, May 22, 2012
Such kind of operation is really hard to do for doctors. Sometimes it will be so so tough may a great risk for life. By the way thanks for sharing some effective pics. Keep it up though.
