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Arterial bullet embolism after thoracic gunshot wound

Bullet embolization of the arterial or venous systems is a rare complication of penetrating gunshot injuries. A 29-year-old man presented at the emergency department with a gunshot wound to the left arm, which had transfixed the arm and entered the thorax, with no exit wound. Initial radiographies s...

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Autores principales: Pereira, Raquel Magalhães, Souza, José Emerson dos Santos, de Araújo, Antônio Oliveira, dos Santos, Priscilla Ribeiro, da Rocha, Ricardo Dias, Parisati, Marcos Henrique, Bernardes, Marcos Velludo, Cavalcante, Leonardo Pessoa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326137/
https://www.ncbi.nlm.nih.gov/pubmed/30643515
http://dx.doi.org/10.1590/1677-5449.005315
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author Pereira, Raquel Magalhães
Souza, José Emerson dos Santos
de Araújo, Antônio Oliveira
dos Santos, Priscilla Ribeiro
da Rocha, Ricardo Dias
Parisati, Marcos Henrique
Bernardes, Marcos Velludo
Cavalcante, Leonardo Pessoa
author_facet Pereira, Raquel Magalhães
Souza, José Emerson dos Santos
de Araújo, Antônio Oliveira
dos Santos, Priscilla Ribeiro
da Rocha, Ricardo Dias
Parisati, Marcos Henrique
Bernardes, Marcos Velludo
Cavalcante, Leonardo Pessoa
author_sort Pereira, Raquel Magalhães
collection PubMed
description Bullet embolization of the arterial or venous systems is a rare complication of penetrating gunshot injuries. A 29-year-old man presented at the emergency department with a gunshot wound to the left arm, which had transfixed the arm and entered the thorax, with no exit wound. Initial radiographies showed a projectile in the upper left thigh. Contrast-enhanced tomography showed a pseudo-aneurysm of the descending thoracic aorta and the bullet inside the proximal left superficial femoral artery. Physical examination found diminished left pedal pulses, and the patient complained of left toe numbness. Endovascular thoracic aortic pseudoaneurysm repair was performed, sealing the descending aortic orifice with an endograft, and thromboembolectomy/bullet retrieval was carried out via a left femoral incision, both successfully. Considering that diagnosis of missile emboli depends on a high degree of suspicion, physicians who manage gunshot wound patients must be acutely aware of the possibility of intravascular bullet embolism.
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spelling pubmed-63261372019-01-14 Arterial bullet embolism after thoracic gunshot wound Pereira, Raquel Magalhães Souza, José Emerson dos Santos de Araújo, Antônio Oliveira dos Santos, Priscilla Ribeiro da Rocha, Ricardo Dias Parisati, Marcos Henrique Bernardes, Marcos Velludo Cavalcante, Leonardo Pessoa J Vasc Bras Case Report Bullet embolization of the arterial or venous systems is a rare complication of penetrating gunshot injuries. A 29-year-old man presented at the emergency department with a gunshot wound to the left arm, which had transfixed the arm and entered the thorax, with no exit wound. Initial radiographies showed a projectile in the upper left thigh. Contrast-enhanced tomography showed a pseudo-aneurysm of the descending thoracic aorta and the bullet inside the proximal left superficial femoral artery. Physical examination found diminished left pedal pulses, and the patient complained of left toe numbness. Endovascular thoracic aortic pseudoaneurysm repair was performed, sealing the descending aortic orifice with an endograft, and thromboembolectomy/bullet retrieval was carried out via a left femoral incision, both successfully. Considering that diagnosis of missile emboli depends on a high degree of suspicion, physicians who manage gunshot wound patients must be acutely aware of the possibility of intravascular bullet embolism. Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2018 /pmc/articles/PMC6326137/ /pubmed/30643515 http://dx.doi.org/10.1590/1677-5449.005315 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Pereira, Raquel Magalhães
Souza, José Emerson dos Santos
de Araújo, Antônio Oliveira
dos Santos, Priscilla Ribeiro
da Rocha, Ricardo Dias
Parisati, Marcos Henrique
Bernardes, Marcos Velludo
Cavalcante, Leonardo Pessoa
Arterial bullet embolism after thoracic gunshot wound
title Arterial bullet embolism after thoracic gunshot wound
title_full Arterial bullet embolism after thoracic gunshot wound
title_fullStr Arterial bullet embolism after thoracic gunshot wound
title_full_unstemmed Arterial bullet embolism after thoracic gunshot wound
title_short Arterial bullet embolism after thoracic gunshot wound
title_sort arterial bullet embolism after thoracic gunshot wound
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326137/
https://www.ncbi.nlm.nih.gov/pubmed/30643515
http://dx.doi.org/10.1590/1677-5449.005315
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