title: Pulmonary Artery Bullet Embolism following Cardiac Gunshot Wound.
abstract: Penetrating chest trauma is common but few need surgical treatment (10-20%). The mortality of gunshot wounds of the heart is 45%, among the wounded arriving at the hospital. The suspicion of wound heart with an inlet in the heart area (limited by costal awnings down, clavicles top, and mid-clavicular line outside) and pericardial effusion remains a surgical indication. Gunshot wounds of the heart with migration of the projectile in the pulmonary artery are rare. Migration of projectile into the pulmonary artery is described most often with lesions of peripheral veins without concomitant cardiac involvement. The indication of projectile extraction is not clearly defined in the literature. Conservative management of selected cases of pulmonary artery bullet emboli may be warranted in light of the risks of extraction.
authors.affiliation: Service de Chirurgie Viscérale, Hôpital d'Instruction des Armées Laveran, Marseille, France.
authors.forename: Pierre-Yves
authors.initials: PY
authors.lastname: Imbert
authors.affiliation: Service de Chirurgie Viscérale, Hôpital d'Instruction des Armées Laveran, Marseille, France.
authors.forename: Géraldine
authors.initials: G
authors.lastname: Goin
authors.affiliation: Service de Chirurgie Viscérale, Hôpital d'Instruction des Armées Laveran, Marseille, France.
authors.forename: Yvain
authors.initials: Y
authors.lastname: Goudard
authors.affiliation: Service de Chirurgie Viscérale, Hôpital d'Instruction des Armées Laveran, Marseille, France.
authors.forename: Bruno
authors.initials: B
authors.lastname: De La Villéon
authors.affiliation: Service de Chirurgie Thoracique, Hôpital d'Instruction des Armées Sainte-Anne, Toulon, France.
authors.forename: Pierre-Mathieu
authors.initials: PM
authors.lastname: Bonnet
authors.affiliation: Service de Chirurgie Viscérale, Hôpital d'Instruction des Armées Laveran, Marseille, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Sockeel
authors.affiliation: Service de Chirurgie Viscérale, Hôpital d'Instruction des Armées Laveran, Marseille, France. Electronic address: ghislainpauleau@yahoo.fr.
authors.forename: Ghislain
authors.initials: G
authors.lastname: Pauleau
mesh_terms: D006348:Cardiac Surgical Procedures; D000072226:Computed Tomography Angiography; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology*; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology*; D013997:Time Factors; D016896:Treatment Outcome; D014948:Wounds, Gunshot / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery