Ate�li silah yaralanmas� sonras� sa�ma embolisi:  Karaci�erden sa� ventrik�le

Bakan, Selim; Korkmazer, Bora; Ba�, Ahmet; �im�ek, Osman; Barman, Hasan Ali; Olgun, Deniz �ebi

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Ate�li silah yaralanmas� sonras� sa�ma embolisi: Karaci�erden sa� ventrik�le [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2016; 22(4): 395-398 | DOI: 10.5505/tjtes.2015.32470

Ate�li silah yaralanmas� sonras� sa�ma embolisi: Karaci�erden sa� ventrik�le

Selim Bakan¹, Bora Korkmazer¹, Ahmet Ba�¹, Osman �im�ek², Hasan Ali Barman³, Deniz �ebi Olgun¹
¹�stanbul �niversitesi, Cerrahpa�a T�p Fak�ltesi, Radyoloji Ana Bilim Dal�, �stanbul
²�stanbul �niversitesi, Cerrahpa�a T�p Fak�ltesi, Genel Cerrahi Ana Bilim Dal�, �stanbul
³�stanbul �niversitesi, Cerrahpa�a T�p Fak�ltesi, Kardiyoloji Ana Bilim Dal�, �stanbul

Kardiyak sa�ma embolisi penetran travmalardan sonra g�r�len nadir ancak ciddi bir komplikasyondur. Ate�li silah yaralanmas� sonras� yabanc� cisimlerin vask�ler sistem arac�l�� ile uzak migrasyonu dikkate al�nmal�d�r. Gecikmi� tan�n�n sebep olabilece�i yetersiz tedavi ve takip eden komplikasyonlar, k�t� prognoz nedeni olabilir. Bu yaz�da, konservatif olarak yakla��lan semptomsuz kardiyak sa�ma embolisi olgusunu sunduk. Bu olgu sunumu penetran ate�li silah yaralanmas� sonras� sa�ma taneci�inin uzak migrasyon olas�l��n� ve semptomsuz hastalarda konservatif yakla��m�n �nemini vurgulamaktad�r.

Anahtar Kelimeler: Ate�li silah, kalp, sa�ma embolisi.

Embolism of a pellet after shotgun injury: From liver to right ventricle

Selim Bakan¹, Bora Korkmazer¹, Ahmet Ba�¹, Osman �im�ek², Hasan Ali Barman³, Deniz �ebi Olgun¹
¹Department Of Radiology, Cerrahpasa School Of Medicine, Istanbul University, Istanbul Turkey
²Department Of General Surgery, Cerrahpasa School Of Medicine, Istanbul University, Istanbul Turkey
³Department Of Cardiology, Cerrahpasa School Of Medicine, Istanbul University, Istanbul Turkey

Bullet embolism to the heart is a rare but serious complication of penetrating trauma. Distant migration of foreign bodies via the vascular system must be taken into consideration following penetrating gunshot trauma. Delays in diagnosis may result in poor management and subsequent complications that may lead to grave prognosis. Presently described was a conservatively managed case of asymptomatic intracardiac pellet embolization. Highlighted was the importance of serial scanning for intravascular migration of pellet following penetrating gunshot injury, in addition to conservative management in asymptomatic patients.

Keywords: Heart, pellet embolization, gunshot injury.

Sorumlu Yazar: Selim Bakan, T�rkiye
Makale Dili: �ngilizce

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