Occasionally a bullet from a gunshot wound may embolize through the vascular system.


Risk factors:

(1) bullet fragmentation or gunshot/BB pellets

(2) vascular wound involving a large artery or vein

Vascular Wound



distal arterial embolism (distal extremity, kidney, brain)


right ventricle or pulmonary artery

venous with patent foramen ovale

paradoxical embolism to peripheral artery


Very rarely a person may have both arterial and venous wounds, with combined patterns of embolization.


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