Bullet Emboli to the Pulmonary Artery: A Report of 2 Patients and Review of the Literature
Bullet embolization to the pulmonary artery is a rare event. The purpose of this study is to report our experience with 2 patients and to review the 15 patients reported in the literature, with special emphasis on a rather peculiar complication that has occurred in 4 of the 9 patients who underwent...
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| Veröffentlicht in: | The Annals of thoracic surgery 1976-04, Vol.21 (4), p.333-336 |
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| container_end_page | 336 |
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| container_issue | 4 |
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| container_title | The Annals of thoracic surgery |
| container_volume | 21 |
| creator | Stephenson, Larry W. Workman, Ronald B. Aldrete, Joaquin S. Karp, Robert B. |
| description | Bullet embolization to the pulmonary artery is a rare event. The purpose of this study is to report our experience with 2 patients and to review the 15 patients reported in the literature, with special emphasis on a rather peculiar complication that has occurred in 4 of the 9 patients who underwent bullet embolectomy: dislodgment of the missile during the surgical procedure and migration to the down-side lung, for which a second thoracotomy was required in 3 of those patients.
The usual untoward effects of foreign bodies in the vascular system were seen in this series: embolization with thrombosis, sepsis, erosion and hemorrhage, and vascular occlusion with infarction.
This review suggests that operative removal of a bullet in the pulmonary artery is necessary. The operation is safe and uncomplicated if precautions are taken to prevent the missile from migrating during manipulation of the lung. |
| doi_str_mv | 10.1016/S0003-4975(10)64322-6 |
| format | Article |
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The usual untoward effects of foreign bodies in the vascular system were seen in this series: embolization with thrombosis, sepsis, erosion and hemorrhage, and vascular occlusion with infarction.
This review suggests that operative removal of a bullet in the pulmonary artery is necessary. The operation is safe and uncomplicated if precautions are taken to prevent the missile from migrating during manipulation of the lung.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/S0003-4975(10)64322-6</identifier><identifier>PMID: 773320</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Abdominal Injuries - surgery ; Adult ; Angiography ; Female ; Foreign Bodies - surgery ; Foreign-Body Migration - surgery ; Humans ; Male ; Pulmonary Artery - diagnostic imaging ; Pulmonary Artery - surgery ; Pulmonary Embolism - mortality ; Pulmonary Embolism - surgery ; Radiography, Thoracic ; Thoracic Injuries - surgery ; Wounds, Gunshot - surgery</subject><ispartof>The Annals of thoracic surgery, 1976-04, Vol.21 (4), p.333-336</ispartof><rights>1976 The Society of Thoracic Surgeons</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-efdc8f68e6d937e4cde57d702b0968eedbc9d9e2af37943786c5f46619291dd73</citedby><cites>FETCH-LOGICAL-c441t-efdc8f68e6d937e4cde57d702b0968eedbc9d9e2af37943786c5f46619291dd73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/773320$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stephenson, Larry W.</creatorcontrib><creatorcontrib>Workman, Ronald B.</creatorcontrib><creatorcontrib>Aldrete, Joaquin S.</creatorcontrib><creatorcontrib>Karp, Robert B.</creatorcontrib><title>Bullet Emboli to the Pulmonary Artery: A Report of 2 Patients and Review of the Literature</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>Bullet embolization to the pulmonary artery is a rare event. The purpose of this study is to report our experience with 2 patients and to review the 15 patients reported in the literature, with special emphasis on a rather peculiar complication that has occurred in 4 of the 9 patients who underwent bullet embolectomy: dislodgment of the missile during the surgical procedure and migration to the down-side lung, for which a second thoracotomy was required in 3 of those patients.
The usual untoward effects of foreign bodies in the vascular system were seen in this series: embolization with thrombosis, sepsis, erosion and hemorrhage, and vascular occlusion with infarction.
This review suggests that operative removal of a bullet in the pulmonary artery is necessary. The operation is safe and uncomplicated if precautions are taken to prevent the missile from migrating during manipulation of the lung.</description><subject>Abdominal Injuries - surgery</subject><subject>Adult</subject><subject>Angiography</subject><subject>Female</subject><subject>Foreign Bodies - surgery</subject><subject>Foreign-Body Migration - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Pulmonary Artery - diagnostic imaging</subject><subject>Pulmonary Artery - surgery</subject><subject>Pulmonary Embolism - mortality</subject><subject>Pulmonary Embolism - surgery</subject><subject>Radiography, Thoracic</subject><subject>Thoracic Injuries - surgery</subject><subject>Wounds, Gunshot - surgery</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1976</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkElPwzAQhS3EVpZ_AJJPCA4BL4ldc0GlKotUiYrlwsVK7YkISupiOyD-PQ5FvXLyeN57M5oPoWNKzimh4uKJEMKzXMnilJIzkXPGMrGBBrQoUsEKtYkGa8su2gvhPX1ZknfQtpScMzJAr9dd00DEk3bumhpHh-Mb4FnXtG5R-m888hH89yUe4UdYOh-xqzDDszLWsIgBlwubhM8avnqhj07rFChj5-EAbVVlE-Dw791HLzeT5_FdNn24vR-PppnJcxozqKwZVmIIwiouITcWCmklYXOiUhfs3CirgJUVlyrncihMUeVCUMUUtVbyfXSymrv07qODEHVbBwNNUy7AdUEPOVcpVSRjsTIa70LwUOmlr9t0paZE90j1L1Ld8-pbv0i1SLmjvwXdvAW7Tq0YJvlqJUM6MqHwOphEx4CtPZiorav_WfADetCFRw</recordid><startdate>197604</startdate><enddate>197604</enddate><creator>Stephenson, Larry W.</creator><creator>Workman, Ronald B.</creator><creator>Aldrete, Joaquin S.</creator><creator>Karp, Robert B.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>197604</creationdate><title>Bullet Emboli to the Pulmonary Artery: A Report of 2 Patients and Review of the Literature</title><author>Stephenson, Larry W. ; Workman, Ronald B. ; Aldrete, Joaquin S. ; Karp, Robert B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-efdc8f68e6d937e4cde57d702b0968eedbc9d9e2af37943786c5f46619291dd73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1976</creationdate><topic>Abdominal Injuries - surgery</topic><topic>Adult</topic><topic>Angiography</topic><topic>Female</topic><topic>Foreign Bodies - surgery</topic><topic>Foreign-Body Migration - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Pulmonary Artery - diagnostic imaging</topic><topic>Pulmonary Artery - surgery</topic><topic>Pulmonary Embolism - mortality</topic><topic>Pulmonary Embolism - surgery</topic><topic>Radiography, Thoracic</topic><topic>Thoracic Injuries - surgery</topic><topic>Wounds, Gunshot - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stephenson, Larry W.</creatorcontrib><creatorcontrib>Workman, Ronald B.</creatorcontrib><creatorcontrib>Aldrete, Joaquin S.</creatorcontrib><creatorcontrib>Karp, Robert B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stephenson, Larry W.</au><au>Workman, Ronald B.</au><au>Aldrete, Joaquin S.</au><au>Karp, Robert B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bullet Emboli to the Pulmonary Artery: A Report of 2 Patients and Review of the Literature</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>1976-04</date><risdate>1976</risdate><volume>21</volume><issue>4</issue><spage>333</spage><epage>336</epage><pages>333-336</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>Bullet embolization to the pulmonary artery is a rare event. The purpose of this study is to report our experience with 2 patients and to review the 15 patients reported in the literature, with special emphasis on a rather peculiar complication that has occurred in 4 of the 9 patients who underwent bullet embolectomy: dislodgment of the missile during the surgical procedure and migration to the down-side lung, for which a second thoracotomy was required in 3 of those patients.
The usual untoward effects of foreign bodies in the vascular system were seen in this series: embolization with thrombosis, sepsis, erosion and hemorrhage, and vascular occlusion with infarction.
This review suggests that operative removal of a bullet in the pulmonary artery is necessary. The operation is safe and uncomplicated if precautions are taken to prevent the missile from migrating during manipulation of the lung.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>773320</pmid><doi>10.1016/S0003-4975(10)64322-6</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0003-4975 |
| ispartof | The Annals of thoracic surgery, 1976-04, Vol.21 (4), p.333-336 |
| issn | 0003-4975 1552-6259 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_83397865 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Abdominal Injuries - surgery Adult Angiography Female Foreign Bodies - surgery Foreign-Body Migration - surgery Humans Male Pulmonary Artery - diagnostic imaging Pulmonary Artery - surgery Pulmonary Embolism - mortality Pulmonary Embolism - surgery Radiography, Thoracic Thoracic Injuries - surgery Wounds, Gunshot - surgery |
| title | Bullet Emboli to the Pulmonary Artery: A Report of 2 Patients and Review of the Literature |
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