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KMID : 0364020080410040536
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Korean Journal of Thoracic and Cardiovascular Surgery
2008 Volume.41 No. 4 p.536 ~ p.538
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A Foreign Body Found in the Pulmonary Artery of a Traffic Accident Victim with a Chest Injury and Near-amputation of the Upper Extremity -A case report-
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Choi Goang-Min
Kim Heung-Cheol
Cho Kwang-Yun
Kim Hyung-Soo
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Abstract
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We present a case with a foreign body in the left pulmonary artery, found in a traffic accident victim. A 52- year-old woman sitting in the passenger side of a car had massive bleeding and near complete amputation of her right forearm in addition to multiple rib fractures and a hemopneumothorax. At arrival to the emergency room, the patient had signs of shock; she was anemic, drowsy and hypotensive. A large volume of blood and crystalloid fluids were administered via the left subclavian vein with a rapid infusion device (Level 1?). As the lung contusion improved, a foreign body was noticed in the left lung field on plain x-rays. Pulmonary angiography was performed and revealed a 15 cm foreign body in the left basal segment of the common pulmonary artery. The foreign body was successfully retrieved using vascular forceps via the percutaneous femoral vein approach.
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KEYWORD
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Foreignbody, Pulmonaryarteries, Woundsandinjuries, Trauma
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