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Ann Thorac Surg 2003;76:1722-1725
© 2003 The Society of Thoracic Surgeons

Case report

Missile embolism to the pulmonary artery: case report and pitfalls of management

Raymond L. Singer, MDa*, Dale A. Dangleben, MDb, Ali Salim, MDb, Stanley J. Kurek, DOb, Kamalesh T. Shah, MDb, James J. Goodreau, MDc, Darryn I. Shaff, MDd, Gary W. Szydlowski, MDa

a Division of Divisions of Cardiothoracic Surgery, Lehigh Valley Hospital, Allentown, Pennsylvania, USA
b division of Trauma Surgery, Lehigh Valley Hospital, Allentown, Pennsylvania, USA
c division of Vascular Surgery, Lehigh Valley Hospital, Allentown, Pennsylvania, USA
d division of Interventional Radiology, Lehigh Valley Hospital, Allentown, Pennsylvania, USA

Accepted for publication March 28, 2003.

* Address reprint requests to Dr Singer, PO Box 3880, Allentown, PA, USA 18106-0880
e-mail: rsinger{at}enter.net

Missile embolism to the pulmonary artery is a rare event. We present a complicated case of missile embolism from the inferior vena cava to the pulmonary artery. The case illustrates the potential pitfalls in the management of these patients.






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