Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/jvb.2014.012
Jornal Vascular Brasileiro
Case Report

Hybrid treatment of bullet embolism at the abdominal aortic bifurcation, complicated with thoracoabdominal aorta pseudoaneurysm and common iliac artery occlusion: case report

Tratamento híbrido de embolia por projétil de arma de fogo em bifurcação aórtica abdominal complicada com pseudoaneurisma de aorta tóraco-abdominal e oclusão de artéria ilíaca comum: relato de caso

Patrick Bastos Metzger; Rafael Borges Monteiro; Maria Luiza Leite de Medeiros; Willian Guidini Lima; Vinicius Bertoldi; Fabio Henrique Rossi; Nilo Mitssuru Izukawa; Antônio Massamitsu Kambara

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Abstract

Embolization due to a firearm projectile entering the bloodstream is a rare event that is unlikely to be suspected during initial treatment of trauma patients. We describe and discuss a case of bullet embolism of the abdominal aortic bifurcation, complicated by a pseudoaneurysm of the thoracoabdominal aorta and occlusion of the right common iliac artery, but successfully treated using a combination of endovascular methods and conventional surgery.

Keywords

gunshot wounds, embolism, aorta

Resumo

A embolização por projétil de arma de fogo na circulação sanguínea é rara e de difícil suspeição no atendimento inicial ao trauma. Relatamos e discutimos um caso de embolia em bifurcação aórtica abdominal complicada com pesudoaneurisma de aorta tóraco-abdominal e oclusão de artéria ilíaca comum direita, tratada de forma efetiva pelos métodos endovascular e cirúrgico convencional.

Palavras-chave

ferimentos por arma de fogo, embolismo, aorta

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