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Endovascular Approach for Management of Bullet Embolization to the Heart

Alireza Mojtahedi1, Sohail Contractor1, Piotr S Kisza1

  • 11 Department of Radiology, Rutgers, New Jersey Medical School Newark, NJ, USA.

Vascular and Endovascular Surgery
|March 20, 2018
PubMed

Insights

Bullet embolization to the heart is rare in penetrating trauma. This case highlights successful endovascular treatment for a right ventricle bullet embolus in a hemodynamically stable patient.

Area of Science:

  • Cardiovascular Surgery
  • Trauma Surgery
  • Interventional Cardiology

Background:

  • Bullet embolization to the heart is an infrequent complication of penetrating trauma.
  • Management strategies vary based on hemodynamic stability, with operative intervention for unstable patients.

Observation:

  • A hemodynamically stable patient presented with a bullet embolus to the right ventricle.
  • Diagnostic imaging included computed tomography angiogram, echocardiogram, and angiography to guide treatment.

Findings:

  • The case successfully demonstrates endovascular treatment for a right ventricle bullet embolus.
  • Endovascular approaches are infrequently used but viable for select patients.

Implications:

  • This case expands treatment options for bullet emboli in the heart.
  • Highlights the technical considerations for successful endovascular management of cardiac bullet emboli.

Keywords:
bulletemboluspenetrating trauma

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