6533b858fe1ef96bd12b5aff
RESEARCH PRODUCT
Minimum cause--maximum effect: the travelogue of a bullet.
Marc HartertManfred DahmAchim NeufangChristian-friedrich Vahlsubject
Pulmonary and Respiratory MedicineMalemedicine.medical_specialtyThoracic InjuriesForensic BallisticsHeart VentriclesDiaphragmPoison controlCeliac arterymedicine.arteryCardiac tamponademedicineHumansCardiac Surgical ProceduresMammary ArteriesPancreasAortaDigestive System Surgical Proceduresbusiness.industryMultiple TraumaAbdominal aortaHemodynamicsMiddle Agedmedicine.diseaseDiaphragm (structural system)SurgeryCardiac Tamponademedicine.anatomical_structureTreatment OutcomeHeart InjuriesLiverVentricleAccidentsSurgeryWounds GunshotTamponadeCardiology and Cardiovascular MedicinebusinessVascular Surgical ProceduresSpleenArterydescription
This case report involves a 57-year-old male, accidentally shot in the chest with a small bore firearm. The bullet entered the left hemithorax, disrupting the left internal mammarian artery. It then penetrated the anterior wall of the right ventricle causing a pericardial tamponade. After leaving the base of the right heart it perforated the diaphragm, the liver, the spleen and the pancreas. Finally, it penetrated the abdominal aorta 3 cm proximally to the coeliac trunk and reached its final position paravertebrally. This case report illustrates that the management of even minimum gunshot wounds requires a maximum variety of surgical skills. Keywords: Thoracoabdominal injury; Shotgun wound; Surgical intervention. Language: en
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2010-08-17 | Interactive cardiovascular and thoracic surgery |