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Bullet embolization to a coronary artery

H R Hopkins1, D P Pecirep

  • 1Department of Cardiothoracic and Vascular Surgery, Hospital Centro Medico de Caracas, San Bernardino, Venezuela.

The Annals of Thoracic Surgery
|August 1, 1993
PubMed
Summary

A pellet lodged in a coronary artery caused a heart attack in a 48-year-old man. This rare case highlights the risk of coronary artery embolization from gunshot wounds.

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Area of Science:

  • Cardiology
  • Trauma Surgery

Background:

  • Coronary artery embolization is a rare but serious complication.
  • Foreign bodies can travel through the arterial system.

Observation:

  • A 48-year-old male presented with chest pain and myocardial infarction following pellet wounds.
  • Radiographic imaging revealed a pellet near the heart.
  • Coronary arteriography identified a pellet occluding the posterior descending artery.

Findings:

  • The pellet acted as a foreign body causing complete occlusion of the posterior descending branch of the right coronary artery.
  • This resulted in an inferior myocardial infarction.

Implications:

  • This case demonstrates intravascular arterial embolization in the coronary circulation, a previously unreported site for pellet emboli.
  • Highlights the importance of considering vascular injury in penetrating chest trauma.

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