de Sousa Arantes Ferreira Gustavo, Pfeffer Jennifer, de Souza Aranha Junior Paulo Roberto, Benedicto Lucas Soares Simizo, Pazeli Luisa Jabour, Godinho Camila Cordeiro, Moreira Thais, de Freitas Belezia Bruno
Department of Surgery, Hospital Metropolitano Odilon Behrens, Rua Formiga 50, Belo Horizonte, Minas Gerais, Brazil.
Trauma Case Rep. 2022 Mar 23;39:100639. doi: 10.1016/j.tcr.2022.100639. eCollection 2022 Jun.
Missile embolism as a consequence of gunshot wounds is a rare occurrence, and can lead to severe complications such as endocarditis, pulmonary thromboembolism and arrythmias. The correct diagnosis of bullet embolism can be challenging in an emergency care setting, often requiring a combination of clinical, radiological and surgical resources. The management of a venous missile embolism depends on characteristics such as size and location of the projectile, and must be highly individualized for each patient. In this report, a case of bullet embolism to the heart in a patient who suffered a gunshot wound to the left subclavian vein provides a backdrop for the discussion of the diagnosis and treatment of this rare ballistic injury.
枪伤导致的导弹栓塞是一种罕见的情况，可导致严重并发症，如心内膜炎、肺血栓栓塞和心律失常。在急诊环境中，正确诊断子弹栓塞可能具有挑战性，通常需要临床、放射学和外科资源相结合。静脉导弹栓塞的治疗取决于射弹的大小和位置等特征，必须针对每个患者进行高度个体化。在本报告中，一名左锁骨下静脉枪伤患者发生心脏子弹栓塞的病例为讨论这种罕见弹道损伤的诊断和治疗提供了背景。
