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Pulmonary embolism from gunshot missiles.
Surgery, Gynecology & Obstetrics
|May 1, 1983
Summary
Gunshot missile emboli can cause pulmonary embolism, a rare but serious complication. Percutaneous cardiovascular catheterization offers a minimally invasive alternative to thoracotomy for missile removal.
Area of Science:
- Cardiovascular Surgery
- Interventional Radiology
- Trauma Surgery
Background:
- Missile emboli entering the bloodstream are rare but can cause severe complications.
- Traditional treatment for pulmonary artery missile emboli involves thoracotomy.
- Pulmonary embolism from gunshot wounds requires prompt management.
Observation:
- Two cases of pulmonary embolism caused by gunshot missiles are presented.
- Missiles lodged in the pulmonary artery and its branches pose significant risks.
- Complications include pulmonary infarction, thrombosis, infection, and hemorrhage.
Findings:
- Percutaneous cardiovascular catheterization successfully removed missiles in both cases.
- This novel approach proved effective with minimal risk.
- Embolectomy via catheterization is a viable alternative to open surgery.
Implications:
- Minimally invasive techniques can be used for managing rare missile emboli.
- Percutaneous embolectomy offers a safer alternative for selected patients.
- This approach may reduce morbidity associated with traditional surgical interventions.