Abstract
We present the case of a 21-year-old male who came to the emergency ward for a thorax bullet wound. At our first check-up, the computed tomography (CT)-scan showed a pulmonary contusion, a hemothorax and a suspicious image of a thoracic aortic wound. The patient was stable, but soon after admission a distal ischemic syndrome appeared which revealed the emboli of the projectile. We removed it and a stent graft was implanted into the thoracic aorta. We report our experience of the treatment and the mechanisms that explain how such a wound did not kill the patient.
MeSH terms
-
Aorta, Thoracic / diagnostic imaging
-
Aorta, Thoracic / injuries*
-
Aorta, Thoracic / surgery
-
Blood Vessel Prosthesis
-
Blood Vessel Prosthesis Implantation / instrumentation
-
Embolism / diagnostic imaging
-
Embolism / etiology*
-
Embolism / surgery
-
Humans
-
Ischemia / diagnostic imaging
-
Ischemia / etiology*
-
Ischemia / surgery
-
Lower Extremity / blood supply*
-
Male
-
Stents
-
Thoracic Injuries / complications*
-
Thoracic Injuries / diagnostic imaging
-
Thoracic Injuries / surgery
-
Tomography, X-Ray Computed
-
Treatment Outcome
-
Vascular System Injuries / complications*
-
Vascular System Injuries / diagnostic imaging
-
Vascular System Injuries / surgery
-
Wounds, Gunshot / complications*
-
Wounds, Gunshot / diagnostic imaging
-
Wounds, Gunshot / surgery
-
Young Adult