Document Detail

Intravascular migratory bullets.
MedLine Citation:
PMID:  371424     Owner:  NLM     Status:  MEDLINE    
The estimated course of a penetrating missile provides some clues to planning intraoperative priorities and management. However, missiles which become intravascular emboli present diagnostic and therapeutic dilemmas. Twenty-eight patients have been seen with bullet emboli. Five patients had emboli to the lungs, two of which were removed. Two large bullets embolized from a right heart injury down the inferior vena cava, one to a hepatic vein and one to the right renal vein. Fourteen patients had arterial bullet emboli, four originating in the heart, four in the thoracic aorta, and six in the abdominal aorta. Two patients died, one of cerebral infarction secondary to bullet embolus to the right carotid artery and one of an unrecognized traumatic intracardiac defect. Complications were secondary to associated injuries rather than a result of removal of bullet emboli.
K L Mattox; A C Beall; C L Ennix; M E DeBakey
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  137     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1979 Feb 
Date Detail:
Created Date:  1979-05-23     Completed Date:  1979-05-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  192-5     Citation Subset:  AIM; IM    
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MeSH Terms
Cardiac Surgical Procedures
Cardiovascular Diseases / etiology,  mortality,  surgery*
Embolism / etiology,  mortality,  surgery*
Foreign Bodies / surgery*
Foreign-Body Migration / mortality,  surgery*
Middle Aged
Postoperative Complications
Wounds, Gunshot / complications,  mortality,  surgery*

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