Abstract
Abstract: 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
Highlights
Everyday more than 250 people in the United States have gunshot wounds with a mortality rate of 10-30%
In addition to the abdomen and extremities, gunshot wounds can occur on the head, neck and thorax.[3]
For 20-25% of traumatic deaths result from thoracic trauma, which is the leading cause of death between 30-39 years of age
Summary
Everyday more than 250 people in the United States have gunshot wounds with a mortality rate of 10-30%. For 20-25% of traumatic deaths result from thoracic trauma, which is the leading cause of death between 30-39 years of age. Exploration is carried out in 15% to 30% of patients who are unstable or who have active bleeding and early exploration is needed in 5% to 15% of cases.[5] Vascular trauma, especially axillary artery injuries that accompany thoracic penetrating trauma are rarely reported and require revascularization to maintain the viability of extremities. Extubation was done less than 24 hours postoperatively with a good result
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