Missile embolism from pulmonary vein to left ventricle: report of a case

Missile embolization is rare in penetrating trauma, occurring in 0.3% of cases. Bullet embolism into the left ventricle is less frequent, with few instances described in the literature. This paper describes an instance of left ventricular bullet embolism from the pulmonary venous system following gu...

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Main Authors: Mohammadrafie Khorgami, Fattaneh Khalaj, Maziar Gholampour, Hassan Tatari
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2024.1342146/full
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author Mohammadrafie Khorgami
Fattaneh Khalaj
Maziar Gholampour
Hassan Tatari
author_facet Mohammadrafie Khorgami
Fattaneh Khalaj
Maziar Gholampour
Hassan Tatari
author_sort Mohammadrafie Khorgami
collection DOAJ
description Missile embolization is rare in penetrating trauma, occurring in 0.3% of cases. Bullet embolism into the left ventricle is less frequent, with few instances described in the literature. This paper describes an instance of left ventricular bullet embolism from the pulmonary venous system following gunshot chest trauma. A 7-year-old boy sustained a gunshot wound to his chest during an assault accident. Despite thoracic pain, he remained conscious and exhibited vital signs. A CXR and CT scan revealed a bullet in the left mediastinum. A left thoracotomy was performed to remove blood and clots from the pericardium. The patient was sent to a tertiary referral hospital for further investigation. The patient underwent elective surgery to remove the foreign body from inside the heart. The procedure involved a partial thymectomy and pericardial opening, and the patient was released from medical care after 14 days. After 6 months, there were no signs or symptoms of cardiothoracic infection or evidence of mitral valve regurgitation in echocardiography.
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spelling doaj.art-fdcba1c5461b43dc922e56e9e9e174c12024-02-23T04:43:12ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2024-02-011110.3389/fcvm.2024.13421461342146Missile embolism from pulmonary vein to left ventricle: report of a caseMohammadrafie Khorgami0Fattaneh Khalaj1Maziar Gholampour2Hassan Tatari3Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IranLiver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, IranRajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IranRajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IranMissile embolization is rare in penetrating trauma, occurring in 0.3% of cases. Bullet embolism into the left ventricle is less frequent, with few instances described in the literature. This paper describes an instance of left ventricular bullet embolism from the pulmonary venous system following gunshot chest trauma. A 7-year-old boy sustained a gunshot wound to his chest during an assault accident. Despite thoracic pain, he remained conscious and exhibited vital signs. A CXR and CT scan revealed a bullet in the left mediastinum. A left thoracotomy was performed to remove blood and clots from the pericardium. The patient was sent to a tertiary referral hospital for further investigation. The patient underwent elective surgery to remove the foreign body from inside the heart. The procedure involved a partial thymectomy and pericardial opening, and the patient was released from medical care after 14 days. After 6 months, there were no signs or symptoms of cardiothoracic infection or evidence of mitral valve regurgitation in echocardiography.https://www.frontiersin.org/articles/10.3389/fcvm.2024.1342146/fullmissile embolizationgunshotleft ventriclepulmonary vein (PV)foreign body
spellingShingle Mohammadrafie Khorgami
Fattaneh Khalaj
Maziar Gholampour
Hassan Tatari
Missile embolism from pulmonary vein to left ventricle: report of a case
Frontiers in Cardiovascular Medicine
missile embolization
gunshot
left ventricle
pulmonary vein (PV)
foreign body
title Missile embolism from pulmonary vein to left ventricle: report of a case
title_full Missile embolism from pulmonary vein to left ventricle: report of a case
title_fullStr Missile embolism from pulmonary vein to left ventricle: report of a case
title_full_unstemmed Missile embolism from pulmonary vein to left ventricle: report of a case
title_short Missile embolism from pulmonary vein to left ventricle: report of a case
title_sort missile embolism from pulmonary vein to left ventricle report of a case
topic missile embolization
gunshot
left ventricle
pulmonary vein (PV)
foreign body
url https://www.frontiersin.org/articles/10.3389/fcvm.2024.1342146/full
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AT fattanehkhalaj missileembolismfrompulmonaryveintoleftventriclereportofacase
AT maziargholampour missileembolismfrompulmonaryveintoleftventriclereportofacase
AT hassantatari missileembolismfrompulmonaryveintoleftventriclereportofacase