Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492008000400017
Jornal Vascular Brasileiro
Case Report

Embolia balística venosa retrógrada transtorácica: relato de caso e revisão da literatura

Transthoracic retrograde venous bullet embolism: case report and review of the literature

Alexandre de Tarso Machado; Ricardo Jayme Procópio; Francesco Botelho Evangelista; Gustavo Henrique Dumont Kleinsorge; Cristina Toledo Afonso; Túlio Pinho Navarro

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Resumo

Êmbolo balístico é um fenômeno de ocorrência rara no atendimento ao traumatizado. Geralmente, são pouco sintomáticos ou assintomáticos, e o tratamento desses pacientes, apesar de estar em constante evolução, é ainda controverso. A abordagem endovascular tem se destacado como modalidade de tratamento para esse tipo de embolia com baixa morbimortalidade. Este artigo relata o caso de um paciente de 30 anos, do sexo masculino, vítima de ferimento por arma de fogo com múltiplos orifícios de entrada em tórax, submetido com sucesso à retirada do projétil por acesso endovascular após tentativa frustrada de retirada por toracotomia.

Palavras-chave

Tratamento, embolia, projétil

Abstract

Bullet embolism is a rare event when providing care to traumatized patients. These cases usually present with few symptoms or are asymptomatic, and treatment is controversial, in spite of the evolution observed. The endovascular approach has stood out as a treatment modality for this type of embolism with low morbidity and mortality rates. This article reports the case of a 30-year-old male patient victim of gunshot thorax injury with multiple entrance signs who was successfully submitted to bullet removal by endovascular technique after failed attempt by thoracotomy.

Keywords

Treatment, embolism, bullet

References

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