This journal is
indexed in Scopus
Year 2020 Vol. 28 No 4
V.A. PODKAMENNIY 1, 2, A.A. SHARAVIN 1, Y.V. ZHELTOVSKY 1, 2, 3, A.V. VYRUPAEV 1, S.V. IMSYROV 1
SHOTGUN PELLET EMBOLISM TO THE GREAT SAPHENOUS VIEN
Irkutsk Regional Clinical Hospital 1,
Irkutsk Medical Academy of Post-graduate Education 2,
Irkutsk State Medical University 3, Irkutsk,
The Russian Federation
A gunshot wound is the main type of injury during combat operations. In peacetime, it is relatively rare and can be the result of criminal incidents or hunting accidents. In this clinical case, the pellet embolism due to the sacrum gunshot wound is described. The pellet from the inferior Vena cava or iliac vein retrograde under its own weight descended into the femoral and then into the large saphenous vein of the thigh, where it stopped thanks to the valves. For 21 years after the injury and embolism of the great saphenous vein of the thigh, the patient made no complaints. The presence of pellet in the vein was a godsend for mammarocoronary bypass surgery for the coronary heart disease. A fragment of the large saphenous vein of the femur on the right thigh was isolated endoscopically. When processing the vein, two pellets with obliteration of the lumen were found. Publications on intravascular embolism by pellet or bullet after gunshot trauma are rare. Embolisms can be observed in both the arterial and venous systems. According to the authors, venous embolisms are less common than arterial ones. Due to the small number of publications, this clinical case is of interest.
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664049, Russian Federation,
Irkutsk, mcr. Yubileynyiy, 100,
Irkutsk Regional Clinical Hospital,
the Cardiac Surgery Unit No1,
tel. mobile: +7 950 125-63-90,
Sharavin Anatoliy A.l
Podkamenniy Vladimir A., MD, Professor of the Department of Cardiovascular Surgery, Cardiovascular Surgeon, Cardiac Surgery Unit No1, Irkutsk Regional Clinical Hospital, Irkutsk, Russian Federation.
Sharavin Anatoliy A., Cardiovascular Surgeon, Cardiac Surgery Unit No1, Irkutsk Regional Clinical Hospital, Irkutsk, Russian Federation.
Zheltovskyi Yurii V., MD, Professor of the Department of Cardiovascular Surgery, Cardiovascular Surgeon, Cardiac Surgery Unit No1, Irkutsk Regional Clinical Hospital, Irkutsk, Russian Federation.
Vyrupaev Alexei V., Cardiologist, Cardiac Surgery Unit No1, Irkutsk Regional Clinical Hospital, Irkutsk, Russian Federation.
Imsyrov Sergei V., Anesthesiologist, Cardiac Surgery Unit No1, Irkutsk Regional Clinical Hospital, Irkutsk, Russian Federation.