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Aortic bullet embolization revealed by peripheral ischemia after a thoracic gunshot wound.

作者信息

Pavy Carine, Lebreton Guillaume, Sanchez Bruno, Roques François

机构信息

Department of Thoracic and Cardiovascular Surgery, University Hospital (Pierre Zobda Quitman Hospital), BP 632, 97261 Fort de France Cedex, Martinique, France.

出版信息

Interact Cardiovasc Thorac Surg. 2011 Mar;12(3):520-2. doi: 10.1510/icvts.2010.250100. Epub 2010 Dec 20.

DOI:10.1510/icvts.2010.250100
PMID:21172940
Abstract

We present the case of a 21-year-old male who came to the emergency ward for a thorax bullet wound. At our first check-up, the computed tomography (CT)-scan showed a pulmonary contusion, a hemothorax and a suspicious image of a thoracic aortic wound. The patient was stable, but soon after admission a distal ischemic syndrome appeared which revealed the emboli of the projectile. We removed it and a stent graft was implanted into the thoracic aorta. We report our experience of the treatment and the mechanisms that explain how such a wound did not kill the patient.

摘要

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