Gunshot Wound Traversing the Ventricular Septum with Peripheral Embolization Presenting as Complete Heart Block

Kennedy, Frank; Duffy, Barbara J.; Stiles, Geoffrey; Chapman, Niles D.

doi:10.1097/00005373-199809000-00038

Cited by 2 publications

(1 citation statement)

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“…However, Rich et al in 1978 reported an incidence of 0.3% annually in the USA, and Aidinian et al reported an incidence of 1.1% in military soldiers combating in Iraq and Afghanistan [ 8 ]. Moreover, in 1998, Kennedy et al published a scarce case of arterial bullet embolism to the innominate artery after GSW to the right heart and injury to the ventricular septum with subsequent downstream migration to the abdominal aortic bifurcation [ 9 ]. Likewise, the clinical presentation of the bullet embolism can often be concealed and deceitful.…”

Section: Discussionmentioning

confidence: 99%

Arterial Bullet Embolization Secondary to Direct Cardiac Injury in Penetrating Chest Trauma: A Rare Challenging Case Report

Mashayekhi

Waheed

Kennedy

2021

Cureus

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Severe thoracic injury secondary to penetrating trauma requires prompt resources and rapid decisionmaking by trauma centers and teams. Implementing trauma systems has significantly impacted medical and critical care quality and outcomes, including managing rare trauma injuries. We describe a report of a rare case of a 21-year-old man with a gunshot wound to the chest with injuries to the right pulmonary hilum requiring pneumonectomy and to the left atrium with bullet embolism to the right common iliac artery. In addition, the systematic approach where each phase of the individual's treatment --prehospital, emergency room, running room, and intensive care --was positively affected by the implementation, development, and progressive maturation of a trauma system is also explained.

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Section: Discussionmentioning

confidence: 99%