Trauma Case Reports (Jun 2022)

Bullet embolism to the heart secondary to gunshot wound of the left subclavian vein: A case report

  • Gustavo de Sousa Arantes Ferreira,
  • Jennifer Pfeffer,
  • Paulo Roberto de Souza Aranha Junior,
  • Lucas Soares Simizo Benedicto,
  • Luisa Jabour Pazeli,
  • Camila Cordeiro Godinho,
  • Thais Moreira,
  • Bruno de Freitas Belezia

Journal volume & issue
Vol. 39
p. 100639

Abstract

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Missile embolism as a consequence of gunshot wounds is a rare occurrence, and can lead to severe complications such as endocarditis, pulmonary thromboembolism and arrythmias. The correct diagnosis of bullet embolism can be challenging in an emergency care setting, often requiring a combination of clinical, radiological and surgical resources. The management of a venous missile embolism depends on characteristics such as size and location of the projectile, and must be highly individualized for each patient. In this report, a case of bullet embolism to the heart in a patient who suffered a gunshot wound to the left subclavian vein provides a backdrop for the discussion of the diagnosis and treatment of this rare ballistic injury.

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