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Ligation of Common Carotid Artery after Penetrating Neck Trauma.

A 32-year-old woman was transferred to our Level 1 Trauma Center after sustaining multiple gunshot wounds to the occipital region of the head and Zone II of the right neck. The patient was found down in her home, and the injurywas estimated to have occurred approximately 18 hours prior to arrival. The patient arrived intubated and sedated and was hemodynamically stable. She followed commands when her sedation was lightened but was hemiparetic and was capable of purposeful movements only on the right side. Initial