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[Aortic thrombi associated with thoracic gunshot wound]
A Renard1, M Le Guen, C Bartou
1Service médical de la brigade de sapeurs-pompiers de Paris, 3, rue Darmesteter, 75013 Paris, France. renarda@pompiersparis.fr
Annales Francaises D'Anesthesie Et De Reanimation
|November 21, 2009
Summary
A bullet caused thoracic trauma, leading to a blood clot in the aorta. This clot traveled to the brain, causing a stroke that thankfully reversed with medical treatment.
Area of Science:
- Neurology
- Vascular Surgery
- Trauma Surgery
Background:
- Ballistic thoracic trauma is a rare cause of cerebrovascular events.
- Understanding the mechanisms linking trauma, coagulation, and stroke is crucial for patient outcomes.
Observation:
- A patient presented with a stroke following a gunshot wound to the chest.
- Imaging revealed a vascular injury in the ascending aorta with associated thrombus formation.
Findings:
- The patient had a procoagulating state secondary to the trauma.
- A thrombus formed in the ascending aorta due to vascular injury and hypercoagulability.
- Embolization of the aortic thrombus to cerebral arteries resulted in ischemic stroke.
Implications:
- This case highlights a unique pathway from thoracic trauma to stroke.
- Prompt medical management can reverse stroke secondary to aortic thrombus embolism.
- Further research into procoagulant states after ballistic trauma is warranted.
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