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Ann Thorac Surg 2009;87:1300. doi:10.1016/j.athoracsur.2008.07.113
© 2009 The Society of Thoracic Surgeons

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Images in Cardiothoracic Surgery

Gunshot in Aorta

Mohammad Hossein Mandegar, MD, Farideh Roshanali, MD*, Naser Karaji, MD

Day General Hospital, Tehran, Iran

* Address correspondence to Dr Roshanali, Day General Hospital, Tavanir St, Vali Asr Ave, Day Genera, Tehran, Iran (Email: farideh_roshanali{at}yahoo.com).

A 34-year-old man was referred to us with gunshot wounds caused by a shotgun fired at an approximate distance of 100 m. His chest and abdomen were impregnated with shots, creating a star-burst appearance (Fig 1).


Figure 1
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Fig 1.
 
After abdominal repair, the existence of dyspnea prompted us to perform an echocardiographic scan, which revealed moderate pericardial effusion and hematoma around the aortic arch. A 64-slice computed tomographic scan showed a hollow caused by the shot in the anterior of the aortic arch; the shot itself was trapped in the posterior side of the arch, begetting the slight hematoma (Fig 2). The shot was surgically removed and the perforation was repaired (Fig 3).


Figure 2
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Fig 2.
 

Figure 3
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Fig 3.
 





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