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

Authors

Mira T. Tanenbaum, Department of Surgery, George Washington University Hospital, Washington, DC.
Mary Matecki, Department of Surgery, George Washington University Hospital, Washington, DC.
Shawn Sarin, Department of Radiology, Interventional Radiology, George Washington University Hospital, Washington, DC.
Susan Kartiko, Department of Surgery, George Washington University Hospital, Washington, DC.
Farhan Ayubi, Department of Vascular Surgery, Walter Reed National Military Medical Center, Bethesda, MD.
Salim Lala, Department of Surgery, George Washington University Hospital, Washington, DC.

Document Type

Journal Article

Publication Date

12-1-2024

Journal

Journal of vascular surgery cases and innovative techniques

Volume

10

Issue

6

DOI

10.1016/j.jvscit.2024.101588

Keywords

Aorta; Gunshot; TEVAR; Thoracic; Thoracotomy; Vascular trauma; Wounds

Abstract

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.

APA Citation

Tanenbaum, Mira T.; Matecki, Mary; Sarin, Shawn; Kartiko, Susan; Ayubi, Farhan; and Lala, Salim, "Gunshot wound causing thoracic aortic injury with bullet embolization to the common femoral artery" (2024). GW Authored Works. Paper 6264.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/6264

Department

Surgery