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Pediatric Cardiology

, Volume 39, Issue 1, pp 191–194 | Cite as

Percutaneous Removal of Intravascular Pellet Following Penetrating Cardiac Trauma

  • Joshua D. ChewEmail author
  • George T. Nicholson
  • Bret A. Mettler
  • Thomas P. Doyle
Case Report

Abstract

There is controversy regarding the management of projectile embolization, a rare complication of penetrating trauma. We present the case of a 5-year-old, 20 kg male with retrograde venous projectile embolization following traumatic injury with a pellet gun. The projectile was successfully removed utilizing a novel, percutaneous approach.

Keywords

Embolus Projectile Pediatric Foreign body retrieval 

Notes

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest related to this report.

Ethical Approval

As this is a case report, this article does not contain any studies with human participants or animals performed by any of the authors.

Informed Consent

Informed consent was obtained prior to all clinical procedures in accordance with standard clinical practice.

Supplementary material

Penetrating injury to the left ventricle just leftward to the left anterior descending coronary and cephalad to a diagonal branch. Supplementary material 1 (MOV 98554 kb)

References

  1. 1.
    Aidinian G, Fox CJ, Rasmussen TE, Gillespie DL (2010) Varied presentations of missile emboli in military combat. J Vasc Surg 51(1):214–217. doi: 10.1016/j.jvs.2009.06.054 CrossRefPubMedGoogle Scholar
  2. 2.
    Rich NM, Collins GJ Jr, Andersen CA, McDonald PT, Kozloff L, Ricotta JJ (1978) Missile emboli. J Trauma 18(4):236–239CrossRefPubMedGoogle Scholar
  3. 3.
    Bertoldo U, Enrichens F, Comba A, Ghiselli G, Vaccarisi S, Ferraris M (2004) Retrograde venous bullet embolism: a rare occurrence-case report and literature review. J Trauma 57(1):187–192CrossRefPubMedGoogle Scholar
  4. 4.
    Mattox KL, Beall AC Jr, Ennix CL, DeBakey ME (1979) Intravascular migratory bullets. Am J Surg 137(2):192–195CrossRefPubMedGoogle Scholar
  5. 5.
    Springer J, Newman W, McGoey R (2011) Intravascular bullet embolism to the right atrium. J Forensic Sci 56(Suppl 1):S259–S262. doi: 10.1111/j.1556-4029.2010.01616.x CrossRefPubMedGoogle Scholar
  6. 6.
    Fritz JM, Newman MM et al (1949) Fate of cardiac foreign bodies. Surgery 25(6):869–879PubMedGoogle Scholar
  7. 7.
    Lu K, Gandhi S, Qureshi MA, Wright AS, Kantathut N, Noeller TP (2015) Approach to management of intravascular missile emboli: review of the literature and case report. West J Emerg Med 16(4):489–496. doi: 10.5811/westjem.2015.5.25553 CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Gaylord GM, Johnsrude IS (1989) Split 24-F Amplatz dilator for percutaneous extraction of an intravascular bullet: case report and technical note. Radiology 170(3 Pt 1):888–889. doi: 10.1148/radiology.170.3.2644664 CrossRefPubMedGoogle Scholar
  9. 9.
    Greaves N (2010) Gunshot bullet embolus with pellet migration from the left brachiocephalic vein to the right ventricle: a case report. Scand J Trauma Resusc Emerg Med 18:36. doi: 10.1186/1757-7241-18-36 CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Khanna A, Drugas GT (2003) Air gun pellet embolization to the right heart: case report and review of the literature. J Trauma 54(6):1239–1241. doi: 10.1097/01.ta.0000080524.77566.a4 CrossRefPubMedGoogle Scholar
  11. 11.
    McLaughlin RL, Analitis S, VanVleet S, Pederson R (2008) Right ventricular gunshot wound with retrograde embolization. J Trauma Nurs 15(3):123–125. doi: 10.1097/01.JTN.0000337154.16088.6d CrossRefPubMedGoogle Scholar
  12. 12.
    Nazir Z, Esufali ST, Rao NS, Rizvi I (1992) Venous bullet embolism: a case report and review of the literature. Injury 23(8):561–563CrossRefPubMedGoogle Scholar
  13. 13.
    Schmelzer V, Mendez-Picon G, Gervin AS (1989) Case report: transthoracic retrograde venous bullet embolization. J Trauma 29(4):525–527CrossRefPubMedGoogle Scholar
  14. 14.
    Schroeder ME, Pryor HI 2nd, Chun AK, Rahbar R, Arora S, Vaziri K (2011) Retrograde migration and endovascular retrieval of a venous bullet embolus. J Vasc Surg 53(4):1113–1115. doi: 10.1016/j.jvs.2010.11.046 CrossRefPubMedGoogle Scholar
  15. 15.
    Shannon FL, McCroskey BL, Moore EE, Moore FA (1987) Venous bullet embolism: rationale for mandatory extraction. J Trauma 27(10):1118–1122CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  1. 1.Division of Pediatric CardiologyMonroe Carell Jr. Children’s Hospital at Vanderbilt University Medical CenterNashvilleUSA
  2. 2.Division of Pediatric Cardiac SurgeryMonroe Carell Jr. Children’s Hospital at Vanderbilt University Medical CenterNashvilleUSA

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