Gunshot wound causing thoracic aortic injury with bullet embolization to the common femoral artery

Penetrating traumatic aortic injury (PTAI) is increasing in prevalence given the rise in firearm violence in the United States and is associated with significant morbidity and mortality. These injuries often result in hemorrhagic shock, with patients presenting in extremis or pulseless, traditionall...

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Bibliographic Details
Main Authors: Mira T. Tanenbaum, MD, Mary Matecki, MD, Shawn Sarin, MD, Susan Kartiko, MD, PhD, Farhan Ayubi, MD, Salim Lala, MD
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
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Online Access:http://www.sciencedirect.com/science/article/pii/S2468428724001722
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Summary:Penetrating traumatic aortic injury (PTAI) is increasing in prevalence given the rise in firearm violence in the United States and is associated with significant morbidity and mortality. These injuries often result in hemorrhagic shock, with patients presenting in extremis or pulseless, traditionally requiring open approaches for repair. A rare but potentially devastating complication of firearm-related PTAI is bullet embolization. This case report describes the successful resuscitation and endovascular treatment of a patient with a firearm-induced PTAI complicated by acute limb ischemia secondary to bullet arterial embolization to the common femoral artery requiring arteriotomy for bullet removal.
ISSN:2468-4287