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Missile migration from lung to heart with delayed systemic embolization.

R L Fisk, A Addetia, E T Gelfand

    Chest
    |October 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

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    A bullet traveled from the heart to the leg ten days after a chest gunshot injury. This delayed embolism, originating from the heart, was an unexpected complication.

    Area of Science:

    • Cardiovascular Surgery
    • Trauma Surgery
    • Medical Case Reports

    Background:

    • Gunshot wounds to the chest can cause complex injuries.
    • Cardiac and vascular injuries require careful management.
    • Embolism is a serious complication of penetrating trauma.

    Observation:

    • A bullet migrated from the heart to the left femoral artery.
    • The patient sustained a gunshot wound to the right chest ten days prior.
    • The bullet traversed the pulmonary venous system and lodged in the left ventricle.

    Findings:

    • Delayed systemic embolism occurred ten days post-injury.
    • Bullet migration from the heart to the periphery is a rare event.
    • The pulmonary venous system served as a pathway for bullet migration.

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    Implications:

    • Highlights the potential for delayed complications after penetrating cardiac trauma.
    • Emphasizes the need for vigilant monitoring for embolic events.
    • Suggests thorough imaging and follow-up are crucial in managing gunshot wounds involving the heart.