1. Unusual Cerebral Embolization
- Author
-
Daniel C. Dennehy and J. Neal Rutledge
- Subjects
medicine.medical_specialty ,Lung ,medicine.diagnostic_test ,Respiratory distress ,business.industry ,medicine.medical_treatment ,Neurological examination ,General Medicine ,Posterior cerebral artery ,Surgery ,medicine.anatomical_structure ,Shotgun pellet ,Anesthesia ,medicine.artery ,Medicine ,Skin grafting ,Cerebral embolization ,Embolization ,business - Abstract
To the Editor.— Embolization of metallic missile fragments within the cardiovascular system has been described in several case reports and review articles. 1 It is rare in a civilian environment, and we would like to present an unusual case of a shotgun pellet embolization from the lung to a posterior cerebral artery. Report of a Case.— A 36-year-old man, after sustaining a shotgun blast to the chest that resulted in a sucking wound, was intubated and stabilized in the Baptist Medical Center, Oklahoma City, emergency room. After surgical debridement, closure of chest wounds, and skin grafting of a wound to the right arm, the patient awoke in the recovery room. Neurological examination findings were normal. No wounds of the head or neck were found. Except for a minor amount of adult respiratory distress syndrome, the patient did well the next 48 hours and was ready to be extubated when he
- Published
- 1983
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