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Pulmonary Artery Bullet Embolism following Cardiac Gunshot Wound.

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.

journal_name

Ann Vasc Surg

journal_title

Annals of vascular surgery

authors

Imbert PY,Goin G,Goudard Y,De La Villéon B,Bonnet PM,Sockeel P,Pauleau G

doi

10.1016/j.avsg.2016.02.038

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

290.e11-290.e14

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(16)30459-9

journal_volume

36

pub_type

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