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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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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author Mira T. Tanenbaum, MD
Mary Matecki, MD
Shawn Sarin, MD
Susan Kartiko, MD, PhD
Farhan Ayubi, MD
Salim Lala, MD
author_facet Mira T. Tanenbaum, MD
Mary Matecki, MD
Shawn Sarin, MD
Susan Kartiko, MD, PhD
Farhan Ayubi, MD
Salim Lala, MD
author_sort Mira T. Tanenbaum, MD
collection DOAJ
description 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.
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publishDate 2024-12-01
publisher Elsevier
record_format Article
series Journal of Vascular Surgery Cases and Innovative Techniques
spelling doaj-art-f0a0f8abcb0b4386a109c303c9516c812024-11-30T07:13:26ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872024-12-01106101588Gunshot wound causing thoracic aortic injury with bullet embolization to the common femoral arteryMira T. Tanenbaum, MD0Mary Matecki, MD1Shawn Sarin, MD2Susan Kartiko, MD, PhD3Farhan Ayubi, MD4Salim Lala, MD5Department of Surgery, George Washington University Hospital, Washington, DCDepartment of Surgery, George Washington University Hospital, Washington, DCDepartment of Radiology, Interventional Radiology, George Washington University Hospital, Washington, DCDepartment of Surgery, George Washington University Hospital, Washington, DCDepartment of Vascular Surgery, Walter Reed National Military Medical Center, Bethesda, MDDepartment of Surgery, George Washington University Hospital, Washington, DC; Correspondence: Salim Lala, MD, Division of Vascular Surgery, Department of Surgery, The George Washington Medical Faculty Associates, 2150 Pennsylvania Ave NW, Ste 6B, Washington, DC 20037Penetrating 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.http://www.sciencedirect.com/science/article/pii/S2468428724001722Vascular traumaTEVARThoracotomyAortaThoracicWounds
spellingShingle Mira T. Tanenbaum, MD
Mary Matecki, MD
Shawn Sarin, MD
Susan Kartiko, MD, PhD
Farhan Ayubi, MD
Salim Lala, MD
Gunshot wound causing thoracic aortic injury with bullet embolization to the common femoral artery
Journal of Vascular Surgery Cases and Innovative Techniques
Vascular trauma
TEVAR
Thoracotomy
Aorta
Thoracic
Wounds
title Gunshot wound causing thoracic aortic injury with bullet embolization to the common femoral artery
title_full Gunshot wound causing thoracic aortic injury with bullet embolization to the common femoral artery
title_fullStr Gunshot wound causing thoracic aortic injury with bullet embolization to the common femoral artery
title_full_unstemmed Gunshot wound causing thoracic aortic injury with bullet embolization to the common femoral artery
title_short Gunshot wound causing thoracic aortic injury with bullet embolization to the common femoral artery
title_sort gunshot wound causing thoracic aortic injury with bullet embolization to the common femoral artery
topic Vascular trauma
TEVAR
Thoracotomy
Aorta
Thoracic
Wounds
url http://www.sciencedirect.com/science/article/pii/S2468428724001722
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