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A large carotid body tumor surrounding the entire carotid bifurcation of a 17-year-old female was completely resected with the carotid bifurcation. Anatomical reconstruction was attempted, using a branched non-reversed saphenous vein, the valve cusps of which were incised by a valvulotome. Postoperative angiogram showed smooth, satisfactory flow from the common carotid artery to both internal and external carotid arteries. The postoperative course has been uneventful for the 16 months since the operation. We conclude that the branched non-reversed saphenous vein is an excellent graft for anatomical reconstruction of the carotid bifurcation.
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