Retrograde venous bullet embolism after thoracic gunshot

Cavalcante, Leonardo Pessoa; Bernardes, Marcos Velludo; Rocha, Ricardo Dias da; Parisati, Marcos Henrique; Souza, José Emerson dos Santos; Araújo, Antônio Oliveira de; Lacerda, Patrícia de Souza; Pereira, Renan Sallazar Ferreira

doi:10.1590/jvb.2013.061

Cited by 3 publications

(4 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2 , 4 , 6 Migration usually occurs soon after the missile enters the circulation, but it can also occur days, weeks, or even years later. 3 , 4 , 6…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Arterial bullet embolism after thoracic gunshot wound

et al. 2018

Self Cite

View full text Add to dashboard Cite

Bullet embolization of the arterial or venous systems is a rare complication of penetrating gunshot injuries. A 29-year-old man presented at the emergency department with a gunshot wound to the left arm, which had transfixed the arm and entered the thorax, with no exit wound. Initial radiographies showed a projectile in the upper left thigh. Contrast-enhanced tomography showed a pseudo-aneurysm of the descending thoracic aorta and the bullet inside the proximal left superficial femoral artery. Physical examination found diminished left pedal pulses, and the patient complained of left toe numbness. Endovascular thoracic aortic pseudoaneurysm repair was performed, sealing the descending aortic orifice with an endograft, and thromboembolectomy/bullet retrieval was carried out via a left femoral incision, both successfully. Considering that diagnosis of missile emboli depends on a high degree of suspicion, physicians who manage gunshot wound patients must be acutely aware of the possibility of intravascular bullet embolism.

show abstract

“…2 , 4 , 6 Migration usually occurs soon after the missile enters the circulation, but it can also occur days, weeks, or even years later. 3 , 4 , 6…”

Section: Discussionmentioning

confidence: 99%

“…Careful evaluation of the projectile trajectory is therefore essential to identify all related injuries. 3…”

Section: Introductionmentioning

confidence: 99%

Arterial bullet embolism after thoracic gunshot wound

et al. 2018

Self Cite

View full text Add to dashboard Cite

show abstract

“…Venous bullet embolization is more likely to terminate below the tricuspid valve due to the RV being a complex trabeculated, crescent shaped structure containing chordae tendinea which provides numerous regions where a foreign body can become anchored in position [1]. It has been reported that venous foreign body migration usually occurs immediately following the incidence of trauma with the majority of cases being hemodynamically stable and therefore reporting no symptoms [5].…”

Section: Discussionmentioning

confidence: 99%

Peripheral Venous Bullet Embolization To The Heart – A Case Study

Luke¹

2021

OJCRR

View full text Add to dashboard Cite

A bullet embolism is a rare complication following penetrating gunshot injury which can present challenges in diagnosis and management. If the projectile has been unsuccessfully removed or remains left in situ, there is a risk that the missile may have gained access to the vascular system from where the flow of blood migrates the foreign body to any number of large vascular beds. Arterial embolization is more common and is often accompanied with symptoms associated with end-organ damage and peripheral ischemia. Venous embolization is less common with few, or no symptoms reported, unless vascular injury, pulmonary embolism or oedema related venous flow obstruction is experienced which may require urgent attention. We present the incidental findings of a bullet within the right ventricle following a gunshot injury to the right upper thigh eleven years prior. To our knowledge, this is the first reported incidence identified in the United Kingdom.

show abstract

“…Successful endovascular snare retrieval of a hepatic venous bullet embolism has been described in very few previous case reports in the literature [5] , [6] , [7] , [8] . There has also been a report of an unsuccessful endovascular retrieval of a hepatic vein bullet embolus [15] . Bullet migration during an endovascular extraction attempt has been reported [11] .…”

Section: Discussionmentioning

confidence: 99%

Bullet retrieval from the right hepatic vein using a controlled endovascular and transhepatic approach

Makramalla

Buchino

Johannigman

et al. 2018

Radiology Case Reports

View full text Add to dashboard Cite

Venous bullet embolism is a rare complication of trauma. We describe a patient who sustained a gunshot wound. Computed tomography revealed antegrade embolization of the bullet to the right hepatic vein (RHV). The risk of not retrieving the bullet embolus and subsequent embolization to the pulmonary circulation includes pulmonary artery thrombosis, bleeding, or abscess formation. The bullet was retrieved through right internal jugular vein access; assisted by percutaneous transhepatic repositioning and endovascular balloon-immobilization of the bullet. The balloon served to "isolate" the bullet within the RHV to avoid the risk of endovascular migration to the pulmonary circulation. Transhepatic access allowed repositioning of the bullet within the RHV leading to successful snare retrieval. This technique demonstrates advantages of percutaneous and endovascular accesses, that repositioned and immobilized the bullet in the RHV to accomplish controlled endovascular retrieval.

show abstract

Retrograde venous bullet embolism after thoracic gunshot

Cited by 3 publications

References 9 publications

Arterial bullet embolism after thoracic gunshot wound

Arterial bullet embolism after thoracic gunshot wound

Peripheral Venous Bullet Embolization To The Heart – A Case Study

Bullet retrieval from the right hepatic vein using a controlled endovascular and transhepatic approach

Contact Info

Product

Resources

About