Patel K R, Cortes L E, Semel L, Sharma P V, Clauss R H
New York Medical College, Metropolitan Hospital Center, New York.
J Cardiovasc Surg (Torino). 1989 Jul-Aug;30(4):584-90.
Bullet embolism is a rare complication of vascular trauma. During the last ten years we have treated six patients with bullet embolism. Three patients had inferior vena caval injuries with embolizations of the bullets to the heart or pulmonary arteries. Two had infrarenal aortic injuries with embolization to vessels of the lower extremities. One patient with a shotgun injury to the superficial femoral artery and vein had both arterial and venous embolizations. The site of vascular penetration was repaired in all six patients. All peripheral arterial bullet emboli were removed except for an asymptomatic shotgun pellet in the peroneal artery. One bullet was removed from a right atrium and another from a proximal pulmonary artery. Emboli in the distal pulmonary artery branches were left undisturbed in two patients. All six patients survived without any complications. A 14-year review of the literature is presented in order to emphasize some important features of this rare pathology.
子弹栓塞是血管创伤的一种罕见并发症。在过去十年中，我们治疗了6例子弹栓塞患者。3例患者下腔静脉损伤，子弹栓塞至心脏或肺动脉。2例患者肾下腹主动脉损伤，子弹栓塞至下肢血管。1例股浅动脉和静脉遭受猎枪伤的患者同时出现动脉和静脉栓塞。所有6例患者的血管穿透部位均得到修复。除腓动脉内一枚无症状的猎枪子弹颗粒外，所有外周动脉子弹栓子均被取出。一枚子弹从右心房取出，另一枚从近端肺动脉取出。两名患者远端肺动脉分支内的栓子未予处理。所有6例患者均存活，无任何并发症。现进行14年的文献回顾，以强调这种罕见病理的一些重要特征。
