Arterial bullet embolism after thoracic gunshot wound
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Jornal Vascular Brasileiro (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492018000300262 |
Resumo: | Abstract 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 |
Arterial bullet embolism after thoracic gunshot woundembolismwounds gunshotaortafemoral arteryendovascular proceduresAbstract 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)2018-09-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492018000300262Jornal Vascular Brasileiro v.17 n.3 2018reponame:Jornal Vascular Brasileiro (Online)instname:Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)instacron:SBACV10.1590/1677-5449.005315info:eu-repo/semantics/openAccessPereira,Raquel MagalhãesSouza,José Emerson dos SantosAraújo,Antônio Oliveira deSantos,Priscilla Ribeiro dosRocha,Ricardo Dias daParisati,Marcos HenriqueBernardes,Marcos VelludoCavalcante,Leonardo Pessoaeng2018-10-08T00:00:00Zoai:scielo:S1677-54492018000300262Revistahttp://www.scielo.br/jvbhttps://old.scielo.br/oai/scielo-oai.php||secretaria@sbacv.org.br1677-73011677-5449opendoar:2018-10-08T00:00Jornal Vascular Brasileiro (Online) - Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)false |
dc.title.none.fl_str_mv |
Arterial bullet embolism after thoracic gunshot wound |
title |
Arterial bullet embolism after thoracic gunshot wound |
spellingShingle |
Arterial bullet embolism after thoracic gunshot wound Pereira,Raquel Magalhães embolism wounds gunshot aorta femoral artery endovascular procedures |
title_short |
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_sort |
Arterial bullet embolism after thoracic gunshot wound |
author |
Pereira,Raquel Magalhães |
author_facet |
Pereira,Raquel Magalhães Souza,José Emerson dos Santos Araújo,Antônio Oliveira de Santos,Priscilla Ribeiro dos Rocha,Ricardo Dias da Parisati,Marcos Henrique Bernardes,Marcos Velludo Cavalcante,Leonardo Pessoa |
author_role |
author |
author2 |
Souza,José Emerson dos Santos Araújo,Antônio Oliveira de Santos,Priscilla Ribeiro dos Rocha,Ricardo Dias da Parisati,Marcos Henrique Bernardes,Marcos Velludo Cavalcante,Leonardo Pessoa |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Pereira,Raquel Magalhães Souza,José Emerson dos Santos Araújo,Antônio Oliveira de Santos,Priscilla Ribeiro dos Rocha,Ricardo Dias da Parisati,Marcos Henrique Bernardes,Marcos Velludo Cavalcante,Leonardo Pessoa |
dc.subject.por.fl_str_mv |
embolism wounds gunshot aorta femoral artery endovascular procedures |
topic |
embolism wounds gunshot aorta femoral artery endovascular procedures |
description |
Abstract 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. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492018000300262 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492018000300262 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1677-5449.005315 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
publisher.none.fl_str_mv |
Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
dc.source.none.fl_str_mv |
Jornal Vascular Brasileiro v.17 n.3 2018 reponame:Jornal Vascular Brasileiro (Online) instname:Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) instacron:SBACV |
instname_str |
Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
instacron_str |
SBACV |
institution |
SBACV |
reponame_str |
Jornal Vascular Brasileiro (Online) |
collection |
Jornal Vascular Brasileiro (Online) |
repository.name.fl_str_mv |
Jornal Vascular Brasileiro (Online) - Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
repository.mail.fl_str_mv |
||secretaria@sbacv.org.br |
_version_ |
1752126648126275584 |