A Foreign Body Found in the Pulmonary Artery of a Traffic Accident Victim with a Chest Injury and Near-amputation of the Upper Extremity: A case report.
- Author:
Goang Min CHOI
1
;
Heung Cheol KIM
;
Kwang Yun CHO
;
Hyung Soo KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Hallym University Medical Center, College of Medicine, Hallym University, Korea. gmchoi@hallym.ac.kr
- Publication Type:Case Report
- Keywords:
Foreign body;
Pulmonary arteries;
Wounds and injuries;
Trauma
- MeSH:
Accidents, Traffic;
Amputation;
Angiography;
Contusions;
Emergencies;
Female;
Femoral Vein;
Forearm;
Foreign Bodies;
Hemopneumothorax;
Hemorrhage;
Humans;
Isotonic Solutions;
Lung;
Pulmonary Artery;
Rib Fractures;
Subclavian Vein;
Surgical Instruments;
Thoracic Injuries;
Thorax
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2008;41(4):536-539
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We present a case with a foreign body in the left pulmonary artery, found in a traffic accident victim. A 52- year-old woman sitting in the passenger side of a car had massive bleeding and near complete amputation of her right forearm in addition to multiple rib fractures and a hemopneumothorax. At arrival to the emergency room, the patient had signs of shock; she was anemic, drowsy and hypotensive. A large volume of blood and crystalloid fluids were administered via the left subclavian vein with a rapid infusion device (Level 1(R)). As the lung contusion improved, a foreign body was noticed in the left lung field on plain x-rays. Pulmonary angiography was performed and revealed a 15 cm foreign body in the left basal segment of the common pulmonary artery. The foreign body was successfully retrieved using vascular forceps via the percutaneous femoral vein approach.
