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The wandering bullet: An unusual case of paradoxical embolization involving the neck, aortic arch, and iliac artery
Trauma (United Kingdom) ; 24(1):83-86, 2022.
Article in English | EMBASE | ID: covidwho-1736248
ABSTRACT
Paradoxical intravascular bullet embolism involving the aortic arch (AA) is a rare and highly lethal condition. We describe an unusual case of a civilian gunshot injury to the neck. A bullet entered in the neck, injured the internal jugular vein (IJV), and then continued into the lumen of the common carotid artery (CCA). The bullet traveled under its own momentum and against the flow of blood, along the carotid and brachiocephalic vessels, finally lodging in the wall of the lesser curvature of the AA. The injury tract resulted in an arterial-venous fistula between IJV and CCA and a pseudoaneurysm of the AA. Open surgical repair of the neck and AA was complicated by secondary distal embolization of the bullet, requiring an embolectomy.
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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Trauma (United Kingdom) Year: 2022 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Trauma (United Kingdom) Year: 2022 Document Type: Article