Open AccessThoracic Gunshot Wound with Vascular Lesion
Author(s) -
Ahmad Adityawarman,
Ahmad Ghozali
Publication year - 2021
Publication title -
berkala kedokteran
Language(s) - English
Resource type - Journals
eISSN - 2548-5660
pISSN - 2338-2198
DOI - 10.20527/jbk.v17i1.10253
Subject(s) - medicine , gunshot wound , thoracotomy , axillary artery , surgery , thoracic trauma , shock (circulatory) , axillary vein , perfusion , radiology , blunt , thrombosis
The thoracic gunshot wounds may cause high morbidity and mortality, especially if accompanied by vascular injuries. Therefore, immediate management and precise decision are needed. A 35-year-old man who was referred from the regional hospital presented with thoracic gunshot wound and a history of hemorrhagic shock. A projectile was found through the chest wall and caused axillary artery rupture. The patient underwent exploratory thoracotomy and axillo-brachial artery bypass using a great saphenous vein graft. The patient's postoperative condition showed improvement in hemodynamic and distal limb perfusion. Keywords: Chest trauma, gunshot wound, axillary artery, vascular injury