ABSTRACT
In this case, the bifurcation of the carotid artery is abnormally low. To obtain adequate proximal control of the carotid artery for cross-clamping, it was necessary to divide the omohyoid muscle. This is accomplished by cutting the muscle after bipolar coagulation and then placing a stitch in each end of the cut muscle. At the end of the procedure when the repair has been completed, the omohyoid muscle can be reopposed by tying these two stitches together and then introducing several more to pull the muscle together. No cosmetic or functional deformity should result from this maneuver.
