Document Detail

Pulmonary embolism from gunshot missiles.
MedLine Citation:
PMID:  6342184     Owner:  NLM     Status:  MEDLINE    
In patients having missile wounds, the most bizarre trajectories and lodgment sites have been reported. Entry of the missile into the blood stream and subsequent embolization is quite an uncommon event. Isolated reports published in the literature date back to the beginning of the century. This article was undertaken to present two instances of pulmonary embolism due to gunshot missiles. Most investigators agree that the missile should be removed when located in the pulmonary artery and its branches because of the high risk of severe complications, such as pulmonary infarction, secondary thrombosis, infection, erosion of the arterial wall and local hemorrhage. In such instances, a thoracotomy is recommended. The alternative treatment in the instances reported herein, conceived and successfully performed by us, was embolectomy through percutaneous cardiovascular catheterization. As a novel procedure, the method has proved effective and liable to minimal risk.
C O Bernini; A R Junqueira; L T Horita; D Birolini; P D Branco; M R de Oliveira
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgery, gynecology & obstetrics     Volume:  156     ISSN:  0039-6087     ISO Abbreviation:  Surg Gynecol Obstet     Publication Date:  1983 May 
Date Detail:
Created Date:  1983-06-17     Completed Date:  1983-06-17     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0101370     Medline TA:  Surg Gynecol Obstet     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  615-9     Citation Subset:  AIM; IM    
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MeSH Terms
Foreign Bodies / complications*,  therapy
Foreign-Body Migration / radiography
Lung / radiography
Pulmonary Artery / radiography
Pulmonary Embolism / etiology*,  radiography,  therapy
Wounds, Gunshot / complications*

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