Intra-Aortic Missile After Gunshot Wound to Chest: An Interesting Case of Traumatic Cardiac Injury

Charles D. Fraser; Lee Goeddel; Nishant D. Patel; Said C. Azoury; Joshua C. Grimm; Rosanne B. Sheinberg; Christopher M. Sciortino

doi:10.1016/j.athoracsur.2016.10.012

Intra-Aortic Missile After Gunshot Wound to Chest: An Interesting Case of Traumatic Cardiac Injury

Charles D. Fraser, Lee Goeddel, Nishant D. Patel, Said C. Azoury, Joshua C. Grimm, Rosanne B. Sheinberg, Christopher M. Sciortino

School of Medicine

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

1 Scopus citations

Abstract

Missile embolus to the heart, although uncommon, is one of the most challenging scenarios in trauma. We describe a 36-year-old man who presented with a gunshot wound to the left chest and a chest x-ray revealing a foreign body in the mediastinum. A median sternotomy was performed and an injury to the left ventricle was identified. After intraoperative echocardiography and fluoroscopy confirmed a foreign body in the aortic root, cardiopulmonary bypass was implemented. A bullet was retrieved from the noncoronary sinus of the aortic valve. Injuries to the anterior leaflet of the mitral valve and left ventricle were repaired.

Original language	English (US)
Pages (from-to)	e441-e442
Journal	Annals of Thoracic Surgery
Volume	103
Issue number	5
DOIs	https://doi.org/10.1016/j.athoracsur.2016.10.012
State	Published - May 2017

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1016/j.athoracsur.2016.10.012

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title = "Intra-Aortic Missile After Gunshot Wound to Chest: An Interesting Case of Traumatic Cardiac Injury",

abstract = "Missile embolus to the heart, although uncommon, is one of the most challenging scenarios in trauma. We describe a 36-year-old man who presented with a gunshot wound to the left chest and a chest x-ray revealing a foreign body in the mediastinum. A median sternotomy was performed and an injury to the left ventricle was identified. After intraoperative echocardiography and fluoroscopy confirmed a foreign body in the aortic root, cardiopulmonary bypass was implemented. A bullet was retrieved from the noncoronary sinus of the aortic valve. Injuries to the anterior leaflet of the mitral valve and left ventricle were repaired.",

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AU - Goeddel, Lee

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AU - Grimm, Joshua C.

AU - Sheinberg, Rosanne B.

AU - Sciortino, Christopher M.

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AB - Missile embolus to the heart, although uncommon, is one of the most challenging scenarios in trauma. We describe a 36-year-old man who presented with a gunshot wound to the left chest and a chest x-ray revealing a foreign body in the mediastinum. A median sternotomy was performed and an injury to the left ventricle was identified. After intraoperative echocardiography and fluoroscopy confirmed a foreign body in the aortic root, cardiopulmonary bypass was implemented. A bullet was retrieved from the noncoronary sinus of the aortic valve. Injuries to the anterior leaflet of the mitral valve and left ventricle were repaired.

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Intra-Aortic Missile After Gunshot Wound to Chest: An Interesting Case of Traumatic Cardiac Injury

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