Embolization of the brachial artery by lead-shot with ischemic syndrome

Pre-operative arteriography in a 5-year-old girl with a gun-shot wound of the shoulder demonstrated the presence of an arterial embolus at the elbow provoking an ischemic syndrome. Following re-establishment of circulation by embolus extraction the arterial perforation at the point of entry was repa...

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Bibliographic Details
Published inJournal de chirurgie Vol. 120; no. 4; p. 271
Main Authors Schoofs, M, Bovet, J L, Baudet, J
Format Journal Article
LanguageFrench
Published France 01.04.1983
Subjects
Arm - blood supply
Brachial Artery - diagnostic imaging
Brachial Artery - surgery
Child, Preschool
Embolism - etiology
Female
Foreign Bodies - complications
Foreign Bodies - diagnostic imaging
Foreign Bodies - surgery
Humans
Ischemia - etiology
Radiography
Shoulder Injuries
Wounds, Gunshot - complications
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Summary:Pre-operative arteriography in a 5-year-old girl with a gun-shot wound of the shoulder demonstrated the presence of an arterial embolus at the elbow provoking an ischemic syndrome. Following re-establishment of circulation by embolus extraction the arterial perforation at the point of entry was repaired by a venous graft, loss of shoulder substance being treated by a musculocutaneous flap from the latissimus dorsi region. Pre-operative arteriography should be a routine investigation in patients with ischemic syndromes of the limbs following injury from penetrating projectiles.
ISSN:0021-7697