Replacement of the common carotid artery by a plastic prosthesis. Report of a case with forty years of follow-up.

An 18-year-old man suffered a 38 caliber gunshot wound to the right side of the neck on 25 September 1957. On 16 October 1957, a traumatic arteriovenous aneurysm between the common carotid artery and the internal jugular vein was resected. The jugular vein was ligated and the common carotid was replaced by a nylon prosthesis. On 16 October 1960. the dilated nylon graft was replaced by a dacron prosthesis. The patient has been followed-up during more than 40 years and his condition is normal. To the best of our knowledge, this operation was the first of its kind performed in the world and has the longest follow-up.