Journal of Oral and Maxillofacial Surgery
Volume 68, Issue 3 , Pages 504-507 , March 2010

Bullet Embolus to the Pulmonary Artery After Gunshot Wound to the Face: Case Report and Review of Literature

  • Chris Jo, DMD

      Affiliations

    • Assistant Clinical Professor, Division of Oral and Maxillofacial Surgery, Emory University School of Medicine, Atlanta, GA
    • Corresponding Author InformationAddress reprint requests and correspondence to Dr Jo: Lakeside Professional Center, 2925 Premiere Parkway, Suite 185, Duluth, GA 30097
    • ,
  • Martin B. Steed, DDS

      Affiliations

    • Assistant Professor and Director of Residency Training Program, Division of Oral and Maxillofacial Surgery, Emory University School of Medicine, Atlanta, GA
    • ,
  • Vincent J. Perciaccante, DDS

      Affiliations

    • Assistant Clinical Professor, Division of Oral and Maxillofacial Surgery, Emory University School of Medicine, Atlanta, GA

References 

  1. Symbas PN, Picone AL, Hatcher CR. Cardiac missiles (A review of the literature and personal experience). Ann Surg. 1990;211:639
  2. Lanzi GL, Rehm CG, Baldino WA. Bullet embolus to the heart following gunshot wound of the mandible: A case report. J Oral Maxillofac Surg. 1992;50:179
  3. John LCH, Edmondson SJ. Bullet pulmonary embolus and the role of surgery. Thorac Cardiovasc Surg. 1991;39:386
  4. Stephenson LW, Workman RB, Aldrete JS, Karp RB. Bullet emboli to the pulmonary artery: A report of 2 patients and review of the literature. Ann Thorac Surg. 1976;21:333
  5. Patten EL, Morales HE. Bullet emboli to the pulmonary artery: A rare occurrence. J Trauma. 1982;22:801
  6. Nehme AE. Intracranial bullet migrating to pulmonary artery. J Trauma. 1980;20:344
  7. Hafez A, Dartevelle P, Lafont D, et al. Pulmonary arterial embolus by an unusual wandering bullet. Thorac Cardiovasc Surg. 1983;31:392
  8. Symbas PN, Harlaftis N. Bullet emboli in the pulmonary and systemic arteries. Ann Surg. 1977;185:318
  9. Wales L, Jenkins DP, Smith PLC. Delayed presentation of right ventricular bullet embolus. Ann Thorac Surg. 2001;72:619
  10. Kalimi R, Angus LDG, Gerold T, et al. Bullet embolization from the left internal iliac vein to the right ventricle. J Trauma. 2002;52:772
  11. Pacio CI, Murphy MA. BB embolus causing monocular blindness in a 9-year-old boy. Am J Ophthalmol. 2002;134:776
  12. Best IM. Transfemoral extraction of an intracardiac bullet embolus. Am Surg. 2001;67:361
  13. Miyaishi S, Moriya F, Yamamoto Y, Ishizu H. Massive pulmonary embolization with cerebral tissue due to gunshot wound to the head. Brain Inj. 1994;8:559
  14. Bernini CO, Junqueira AR, Horita LT, et al. Pulmonary embolism from gunshot missiles. Surg Gynecol Obstet. 1983;156:615
  15. Petsas AA, Ghahramani AR, Green R. A wandering bullet: Successful removal and a simple technique to prevent its migration. J Thorac Cardiovasc Surg. 1975;69:954
  16. Kaushik VS, Mandal AK. Non-surgical retrieval of a bullet embolus from the right heart. Catheter Cardiovascular Interv. 1999;47:55
  17. Kortbeek JB, Clark JA, Carraway RC. Conservative management of a pulmonary artery bullet embolism: Case report and review of the literature. J Trauma. 1992;33:906
  18. Pecirep DP, Hopkins HR. Removal of a bullet from the right heart using controlled embolization to a peripheral vein. Ann Thorac Surg. 1994;58:1748
  19. Gaylord GM, Johnsrude IS. Split: 24-F Amplatz dilator for percutaneous extraction of an intravascular bullet: Case report and technical note. Radiology. 1989;170:888
  20. Van Arsdell GS, Razzouk AJ, Fandrich BL, et al. Bullet fragment venous embolus to the heart: Case report. J Trauma. 1991;31:137
  21. Howantiz EP, Murray KD, Galbraith TA, Myerowitz PD. Peripheral venous bullet embolization to the heart. J Vasc Surg. 1988;8:55
  22. Saunders MS, Cropp AJ, Awad M. Spontaneous endobronchial erosion and expectoration of a retained intrathoracic bullet: Case report. J Trauma. 1992;33:909
  23. Ledgerwood AM. The wandering bullet. Surg Clin North Am. 1977;57:97

PII: S0278-2391(09)00557-6

doi: 10.1016/j.joms.2009.04.052

Journal of Oral and Maxillofacial Surgery
Volume 68, Issue 3 , Pages 504-507 , March 2010

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