Gunshot Wound to the Right Superior Pulmonary Vein With Bullet Embolization to the Aortic Bifurcation: Emergent Surgical Repair

被引:1
作者
Rizzo, Anthony N. [1 ]
Epstein, David A. [2 ]
Salamon, Thomas [3 ]
Beery, Paul R., II [4 ]
机构
[1] Ohio Univ, Heritage Coll Osteopath Med, Dublin, OH USA
[2] OhioHlth Grant Med Ctr, Vasc Surg, Columbus, OH 43214 USA
[3] OhioHlth Grant Med Ctr, Thorac & Cardiac Surg, Columbus, OH 43214 USA
[4] OhioHlth Grant Med Ctr, Surg Crit Care, Columbus, OH 43214 USA
关键词
Gunshot wound; bullet embolization; aortic bifurcation; penetrating cardiac trauma; pulmonary vein; cardiopulmonary bypass; trauma; PENETRATING CARDIAC INJURIES; MANAGEMENT; EMBOLISM; MISSILE;
D O I
10.1177/15385744221124295
中图分类号
R61 [外科手术学];
学科分类号
摘要
Bullet embolization is a rare complication of gunshot wound injuries with most of the literature consisting of case reports. We report a case regarding bullet embolization to the distal aorta following entry into the right superior pulmonary vein as a result of a gunshot wound to the posterior chest. The patient presented with signs of lower extremity ischemia. Imaging revealed an intrabdominal bullet at the level of L4 and laparatomy identified the bullet to be within the aorta at the bifurcation. Successful repair of the cardiac injury and removal of the intra-aortic bullet were achieved by sternotomy and laparatomy.
引用
收藏
页码:75 / 78
页数:4
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