Pulmonary Artery Bullet Embolism following Cardiac Gunshot Wound.
Ann Vasc Surg
; 36: 290.e11-290.e14, 2016 Oct.
Article
in En
| MEDLINE
| ID: mdl-27395810
ABSTRACT
Penetrating chest trauma is common but few need surgical treatment (10-20%). The mortality of gunshot wounds of the heart is 45%, among the wounded arriving at the hospital. The suspicion of wound heart with an inlet in the heart area (limited by costal awnings down, clavicles top, and mid-clavicular line outside) and pericardial effusion remains a surgical indication. Gunshot wounds of the heart with migration of the projectile in the pulmonary artery are rare. Migration of projectile into the pulmonary artery is described most often with lesions of peripheral veins without concomitant cardiac involvement. The indication of projectile extraction is not clearly defined in the literature. Conservative management of selected cases of pulmonary artery bullet emboli may be warranted in light of the risks of extraction.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pulmonary Artery
/
Pulmonary Embolism
/
Wounds, Gunshot
/
Foreign-Body Migration
/
Heart Injuries
Limits:
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Ann Vasc Surg
Journal subject:
ANGIOLOGIA
Year:
2016
Type:
Article
Affiliation country:
France