Berkala Kedokteran (Mar 2021)

Thoracic Gunshot Wound with Vascular Lesion

  • Ahmad Adityawarman,
  • Ahmad Ghozali

DOI
https://doi.org/10.20527/jbk.v17i1.10253
Journal volume & issue
Vol. 17, no. 1
pp. 71 – 78

Abstract

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Abstract: The thoracic gunshot wounds may cause high morbidity and mortality, especially if accompanied by vascular injuries. Therefore, immediate management and precise decision are needed. A 35-year-old man who was referred from the regional hospital presented with thoracic gunshot wound and a history of hemorrhagic shock. A projectile was found through the chest wall and caused axillary artery rupture. The patient underwent exploratory thoracotomy and axillo-brachial artery bypass using a great saphenous vein graft. The patient's postoperative condition showed improvement in hemodynamic and distal limb perfusion. Keywords: Chest trauma, gunshot wound, axillary artery, vascular injury

Keywords