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March 1969

Bullet Embolism From the Aortic Arch to the Popliteal Artery

Author Affiliations

St. Louis
From the Department of Surgery, Washington University School of Medicine, St. Louis.

Arch Surg. 1969;98(3):326-328. doi:10.1001/archsurg.1969.01340090102017

Embolism of a bullet to a peripheral vessel following an aortic injury of a blood vessel may be due to thrombi, fat, air, organ tissue, or a projectile foreign body. In the present case, embolism of a bullet to the popliteal artery occurred after its entry into the aortic arch was demonstrated by femoral arteriography.

Report of a Case  A 19-year-old Negro boy was shot above the left clavicle by a.22 caliber pistol. He began running and subsequently felt pain in the left side of the chest. In the emergency room of St. Louis City Hospital, 45 minutes later, he complained of left chest pain at the level of the second thoracic vertebra on deep inspiration and steady pain in the left calf.A small wound was present in the left side of the chest just above the midportion of the clavicle. The left calf was tender, and the pulses