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Case report: transthoracic retrograde venous bullet embolization.

V Schmelzer¹, G Mendez-Picon, A S Gervin

¹Department of Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298.

The Journal of Trauma

|April 1, 1989

Summary

Bullet embolism in veins is rare, especially retrograde transthoracic venous bullet embolization. A small bullet traveled from the left subclavian vein to the right popliteal vein and was successfully treated without surgery.

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Area of Science:

Vascular Surgery
Trauma Surgery
Radiology

Background:

Venous bullet embolism is a rare complication of penetrating trauma.
Retrograde transthoracic venous bullet embolization is exceptionally uncommon.

Observation:

A case of a small-caliber bullet embolizing from the left subclavian vein is presented.
The bullet migrated to a branch of the right popliteal vein.

Findings:

Successful non-surgical management of a venous bullet embolism.
Demonstration of an unusual bullet migration pathway.

Implications:

Highlights the possibility of rare venous bullet migration patterns.
Supports conservative management in select cases of venous bullet embolism.

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