Document Detail

Gunshot wounds to the chest with arterial bullet embolization.
MedLine Citation:
PMID:  17086482     Owner:  NLM     Status:  MEDLINE    
This report describes two cases involving small-caliber gunshot wounds to the chest with embolization of the bullet (.22 long rifle). In the first patient, hemodynamic status permitted additional imaging before surgery. Findings demonstrated embolization of the bullet into the right external carotid artery after penetration into the left ventricle. In the second patient, emergency thoracotomy was required to perform hemostasis following perforation of the pulmonary artery with massive hemothorax. Bullet embolization into the left hypogastric artery through an acquired aortopulmonary fistula suspected during thoracic exploration was diagnosed after the procedure. Postoperative recovery was uneventful in both cases. The bullet in the hypogastric artery was not extracted, with no complications being observed after a follow-up period of 3 years.
Rodolphe Nguyen; Adolphe Ouedraogo; Michel Deneuville
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of vascular surgery     Volume:  20     ISSN:  0890-5096     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-12-15     Completed Date:  2007-02-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  780-3     Citation Subset:  IM    
Service de Chirurgie Vasculaire et Thoracique, CHU de la Guadeloupe, Abymes, France.
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MeSH Terms
Arteries / injuries,  pathology*
Carotid Artery, External / radiography
Embolism / etiology*,  radiography
Foreign-Body Migration / etiology*,  radiography
Heart Ventricles / injuries
Iliac Artery / injuries,  radiography
Pulmonary Artery / injuries,  radiography
Radiography, Thoracic
Thoracic Injuries / complications*,  radiography
Tomography, X-Ray Computed
Wounds, Gunshot / complications*,  radiography

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

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