The wandering bullet: An unusual case of paradoxical embolization involving the neck, aortic arch, and iliac artery

被引：1

作者：

Naidoo, Sashelin ^{[1
]}

Botes, Jaco ^{[2
]}

Janson, Jacques ^{[1
]}

Keyser, Zamira ^{[2
]}

Burke, Jonathan ^{[3
]}

机构：

[1] Tygerberg Hosp, Div Cardiothorac Surg, Francie van Zijl Dr, ZA-7505 Cape Town, Western Cape, South Africa

[2] Tygerberg Hosp, Div Surg, Cape Town, South Africa

[3] Tygerberg Hosp, Div Anaesthesia & Crit Care, Cape Town, South Africa

来源：

TRAUMA-ENGLAND | 2022年 / 24卷 / 01期

关键词：

Bullet embolization; arteriovenous fistula; aortic arch pseudoaneurysm; paradoxical embolization; EMBOLISM;

D O I：

10.1177/14604086211019536

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Paradoxical intravascular bullet embolism involving the aortic arch (AA) is a rare and highly lethal condition. Wedescribe an unusual case of a civilian gunshot injury to the neck. A bullet entered in the neck, injured the internal jugular vein (IJV), and then continued into the lumen of the common carotid artery (CCA). The bullet traveled under its own momentum and against the flow of blood, along the carotid and brachiocephalic vessels, finally lodging in the wall of the lesser curvature of the AA. The injury tract resulted in an arterial-venous fistula between IJV and CCA and a pseudoaneurysm of the AA. Open surgical repair of the neck and AA was complicated by secondary distal embolization of the bullet, requiring an embolectomy.

引用

页码：83 / 86

页数：4