Tanenbaum Mira T, Matecki Mary, Sarin Shawn, Kartiko Susan, Ayubi Farhan, Lala Salim
Department of Surgery, George Washington University Hospital, Washington, DC.
Department of Radiology, Interventional Radiology, George Washington University Hospital, Washington, DC.
J Vasc Surg Cases Innov Tech. 2024 Aug 24;10(6):101588. doi: 10.1016/j.jvscit.2024.101588. eCollection 2024 Dec.
Penetrating traumatic aortic injury (PTAI) is increasing in prevalence given the rise in firearm violence in the United States and is associated with significant morbidity and mortality. These injuries often result in hemorrhagic shock, with patients presenting in extremis or pulseless, traditionally requiring open approaches for repair. A rare but potentially devastating complication of firearm-related PTAI is bullet embolization. This case report describes the successful resuscitation and endovascular treatment of a patient with a firearm-induced PTAI complicated by acute limb ischemia secondary to bullet arterial embolization to the common femoral artery requiring arteriotomy for bullet removal.
鉴于美国枪支暴力事件的增加，穿透性创伤性主动脉损伤（PTAI）的患病率正在上升，并且与显著的发病率和死亡率相关。这些损伤常导致失血性休克，患者表现为极度危急或无脉，传统上需要采用开放手术进行修复。与枪支相关的PTAI一种罕见但可能具有毁灭性的并发症是子弹栓塞。本病例报告描述了一名因枪支导致PTAI并伴有子弹动脉栓塞至股总动脉继发急性肢体缺血而需要切开动脉取出子弹的患者，其成功复苏及血管内治疗的过程。
