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.
arterial cannula; suture; vascular clamp; polypropylene; polytetrafluoroethylene; adult; aortic arch; aortic valve stenosis; arteriotomy; arteriovenous fistula; article; blood flow; bullet; C arm fluoroscopy; cardiopulmonary bypass; case report; clinical article; common carotid artery; computer assisted tomography; coronavirus disease 2019; deep hypothermic circulatory arrest; embolectomy; esophagography; false aneurysm; fluoroscopy; follow up; gunshot injury; heart arrest; hematoma; hemostasis; hospitalization; human; iliac artery; internal jugular vein; laparotomy; male; nasopharyngeal swab; neck; paradoxical embolism; preoperative period; Severe acute respiratory syndrome coronavirus 2; soft tissue; sternocleidomastoid muscle; sternotomy; thorax radiography
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Collection:
Databases of international organizations
Database:
EMBASE
Language:
English
Journal:
Trauma (United Kingdom)
Year:
2022
Document Type:
Article
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