Acute limb ischemia secondary to bullet embolism following a cardiac gunshot wound in a pediatric patient

Eliza Ferrari; Tiffany Guard; Vivek Prakash; Michael Shih; Melissa Kirkwood; Michael Siah

doi:10.1016/j.jvscit.2023.101231

Acute limb ischemia secondary to bullet embolism following a cardiac gunshot wound in a pediatric patient

Eliza Ferrari, Tiffany Guard, Vivek Prakash, Michael Shih, Melissa Kirkwood, Michael Siah

Research output: Contribution to journal › Article › peer-review

Abstract

Bullet embolism following a gunshot wound to the heart is a very unusual cause of acute limb ischemia. We report the case of a 3-year-old boy who sustained a penetrating cardiac trauma secondary to an accidental self-inflicted gunshot wound with a BB (ball bearing) gun. The BB pellet entered the left ventricle and embolized into the peripheral circulation, lodging at the bifurcation of the left common femoral artery. This resulted in acute left lower extremity ischemia. The patient was successfully treated by open common femoral artery exploration and foreign body removal.

Original language	English (US)
Article number	101231
Journal	Journal of Vascular Surgery Cases, Innovations and Techniques
Volume	9
Issue number	3
DOIs	https://doi.org/10.1016/j.jvscit.2023.101231
State	Published - Sep 2023

Keywords

Acute limb ischemia
BB gun
Bullet embolism
Cardiac trauma
Gunshot wound
Missile embolism
Pediatric

ASJC Scopus subject areas

Surgery
Cardiology and Cardiovascular Medicine

Access to Document

10.1016/j.jvscit.2023.101231

Cite this

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title = "Acute limb ischemia secondary to bullet embolism following a cardiac gunshot wound in a pediatric patient",

abstract = "Bullet embolism following a gunshot wound to the heart is a very unusual cause of acute limb ischemia. We report the case of a 3-year-old boy who sustained a penetrating cardiac trauma secondary to an accidental self-inflicted gunshot wound with a BB (ball bearing) gun. The BB pellet entered the left ventricle and embolized into the peripheral circulation, lodging at the bifurcation of the left common femoral artery. This resulted in acute left lower extremity ischemia. The patient was successfully treated by open common femoral artery exploration and foreign body removal.",

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AU - Prakash, Vivek

AU - Shih, Michael

AU - Kirkwood, Melissa

AU - Siah, Michael

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N2 - Bullet embolism following a gunshot wound to the heart is a very unusual cause of acute limb ischemia. We report the case of a 3-year-old boy who sustained a penetrating cardiac trauma secondary to an accidental self-inflicted gunshot wound with a BB (ball bearing) gun. The BB pellet entered the left ventricle and embolized into the peripheral circulation, lodging at the bifurcation of the left common femoral artery. This resulted in acute left lower extremity ischemia. The patient was successfully treated by open common femoral artery exploration and foreign body removal.

AB - Bullet embolism following a gunshot wound to the heart is a very unusual cause of acute limb ischemia. We report the case of a 3-year-old boy who sustained a penetrating cardiac trauma secondary to an accidental self-inflicted gunshot wound with a BB (ball bearing) gun. The BB pellet entered the left ventricle and embolized into the peripheral circulation, lodging at the bifurcation of the left common femoral artery. This resulted in acute left lower extremity ischemia. The patient was successfully treated by open common femoral artery exploration and foreign body removal.

KW - Acute limb ischemia

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KW - Bullet embolism

KW - Cardiac trauma

KW - Gunshot wound

KW - Missile embolism

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Acute limb ischemia secondary to bullet embolism following a cardiac gunshot wound in a pediatric patient

Abstract

Keywords

ASJC Scopus subject areas

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