465072Ohio University Heritage College of Osteopathic Medicine, Dublin, OH, USA.
Vascular Surgery, 24594OhioHealth Grant Medical Center, Columbus, OH, USA.
Vasc Endovascular Surg. 2023 Jan;57(1):75-78. doi: 10.1177/15385744221124295. Epub 2022 Sep 6.
Bullet embolization is a rare complication of gunshot wound injuries with most of the literature consisting of case reports. We report a case regarding bullet embolization to the distal aorta following entry into the right superior pulmonary vein as a result of a gunshot wound to the posterior chest. The patient presented with signs of lower extremity ischemia. Imaging revealed an intrabdominal bullet at the level of L4 and laparatomy identified the bullet to be within the aorta at the bifurcation. Successful repair of the cardiac injury and removal of the intra-aortic bullet were achieved by sternotomy and laparatomy.
子弹栓塞是枪弹伤的罕见并发症，大多数文献都是病例报告。我们报告了一例因后胸部枪弹伤导致子弹经右肺上静脉进入远端主动脉的病例。患者表现出下肢缺血的症状。影像学检查显示腹腔内 L4 水平有一颗子弹，剖腹探查发现子弹位于主动脉分叉处。通过胸骨切开术和剖腹术成功修复了心脏损伤并取出了主动脉内的子弹。
