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Unsuspected mediastinal traverse

Yoshiro KOBE y-kobe at umin.ac.jp
Tue Sep 15 17:56:46 BST 2009


Dear sal

I have a question.

Can the bullet shot in the atrium (or heart) be removed by baloon
catheter technique?
I think bullet in the deep part of the human body must be needed to remove surgi
cally.
Please tell me, if you will, the popular approach for GSW in the deep portion.

>From the country of little GSW.
  
>An inferior vena cavogram and right atriogram showed the bullet in the >right a
trium. Multiple negative echocardiograms had been normal. The >bullet was remove
d from the right atrium with a 27 mm balloon catheter >used like an embolectomy 
catheter. The bullet was then dragged down >into the pelvis where it promptly fe
ll into the right internal iliac >vein . By deploying a stent in the common/exte
rnal iliac vein, the >bullet was caged in the internal iliac vein where it will 
remain.


KOBE Yoshiro M.D.

Department of Emergency and Critical Care Medecine
Kimitsu Chuo Hospital
Chiba, Japan

y-kobe at umin.ac.jp


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