Bullet embolism: a rare cause of acute ischaemia.


Journal

Interactive cardiovascular and thoracic surgery
ISSN: 1569-9285
Titre abrégé: Interact Cardiovasc Thorac Surg
Pays: England
ID NLM: 101158399

Informations de publication

Date de publication:
01 06 2022
Historique:
received: 01 06 2021
revised: 21 11 2021
accepted: 12 01 2022
pubmed: 29 1 2022
medline: 7 6 2022
entrez: 28 1 2022
Statut: ppublish

Résumé

Embolization of a bullet or shrapnel from the heart (left ventricle) to the peripheral arterial circulation is practically unknown. We present a 38-year-old man with no comorbidities who was referred to our centre with a bullet injury to the left side of his chest. The patient complained of mild pain and numbness in his right lower limb. A trauma series was advised. A contrast angiogram of the peripheral lower limbs showed a bullet in the right popliteal artery with no flow in the tibial arteries. A bullet was removed from the distal popliteal artery at its bifurcation with a long thrombus proximal to it. Removal of the foreign body is the widely accepted management, especially when it leads to symptoms like ischaemia or signs of infection, as was the situation in our case.

Identifiants

pubmed: 35088832
pii: 6516410
doi: 10.1093/icvts/ivac006
pmc: PMC9714595
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1186-1187

Informations de copyright

© The Author(s) 2022. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery.

Références

J Pathol Bacteriol. 1948 Apr;60(2):205-10
pubmed: 18110930
BMJ Case Rep. 2014 Sep 19;2014:
pubmed: 25239992
J Vasc Surg Cases Innov Tech. 2019 Jun 27;5(3):283-288
pubmed: 31309169
J Hand Surg Am. 1992 May;17(3):484-6
pubmed: 1613227
Vascular. 2005 Jul-Aug;13(4):222-9
pubmed: 16229795

Auteurs

Nashwan AlAttab (N)

Department of vascular surgery, King Fahad Medical City, Riyadh, Saudi Arabia.

Tariq Wani (T)

Department of vascular surgery, King Fahad Medical City, Riyadh, Saudi Arabia.

Khalid Alomar (K)

Department of vascular surgery, King Fahad Medical City, Riyadh, Saudi Arabia.

Abdullah Alfozan (A)

Department of vascular surgery, King Fahad Medical City, Riyadh, Saudi Arabia.

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Classifications MeSH