Foreign body embolization by the aortic root due to a fire gun injury: a case report of a 10-year-old asymptomatic patient

Sefer Kaya, Department of Cardiovascular Surgery, Tayfur Ata Sökmen Faculty of Medicine, Hatay Mustafa Kemal University, Hatay, Turkey
Dilan Oruç, Department of Cardiovascular Surgery, Tayfur Ata Sökmen Faculty of Medicine, Hatay Mustafa Kemal University, Hatay, Turkey
Ekin Anil-Ünal, Department of Anesthesia and Reanimation, Tayfur Ata Sökmen Faculty of Medicine, Hatay Mustafa Kemal University, Hatay, Turkey
Íbrahim Demir, Department of Cardiovascular Surgery, Faculty of Medicine, Istanbul University, Istanbul. Turkey
Metin Onur-Beyaz, Department of Cardiovascular Surgery, Tayfur Ata Sökmen Faculty of Medicine, Hatay Mustafa Kemal University, Hatay, Turkey

Foreign body embolies that origin arterial system have mostly seen symptomatic and that’s why they require emergency surgery. However, asymptomatic cases are followed conservatively, they can cause vascular-related end-organ pathologies as time passes. Foreign body migration from the ascending aorta to the end-organ artery is a very rare in literature after a fire gun injury. In symptomatic cases, emergency surgery should be planned immediately. In asymptomatic cases, the risks and benefits should first be considered before any surgical approach.

Keywords: Fire gun injury. Foreign body embolization. Aortic root.