Document Detail

Bullet emboli to the pulmonary artery: a report of 2 patients and review of the literature.
MedLine Citation:
PMID:  773320     Owner:  NLM     Status:  MEDLINE    
Bullet embolization to the pulmonary artery is a rare event. The purpose of this study is to report our experience with 2 patients and to review the 15 patients reported in the literature, with special emphasis on a rather peculiar complication that has occurred in 4 of the 9 patients who underwent bullet embolectomy: dislodgment of the missile during the surgical procedure and migration to the down-side lung, for which a second thoracotomy was required in 3 of those patients. The usual untoward effects of foreign bodies in the vascular system were seen in this series: embolization with thrombosis, sepsis, erosion and hemorrhage, and vascular occlusion with infarction. This review suggests that operative removal of a bullet in the pulmonary artery is necessary. The operation is safe and uncomplicated if precautions are taken to prevent the missile from migrating during manipulation of the lung.
L W Stephenson; R B Workman; J S Aldrete; R B Karp
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  21     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1976 Apr 
Date Detail:
Created Date:  1976-07-06     Completed Date:  1976-07-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  333-6     Citation Subset:  AIM; IM    
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MeSH Terms
Abdominal Injuries / surgery
Foreign Bodies / surgery*
Foreign-Body Migration / surgery
Pulmonary Artery* / radiography,  surgery
Pulmonary Embolism / mortality,  surgery*
Radiography, Thoracic
Thoracic Injuries / surgery
Wounds, Gunshot / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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