<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0003-3170</journal-id>
<journal-title><![CDATA[Angiología]]></journal-title>
<abbrev-journal-title><![CDATA[Angiología]]></abbrev-journal-title>
<issn>0003-3170</issn>
<publisher>
<publisher-name><![CDATA[Arán Ediciones S.L.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0003-31702020000700006</article-id>
<article-id pub-id-type="doi">10.20960/angiologia.00168</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Úlcera aórtica torácica e isquemia aguda de extremidad inferior debido a proyectil de bala]]></article-title>
<article-title xml:lang="en"><![CDATA[Thoracic aortic ulcer and acute lower limb ischemia due to bullet]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Huilca Sigüenza]]></surname>
<given-names><![CDATA[Vicente Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz Córdova]]></surname>
<given-names><![CDATA[Julio César]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera Lema]]></surname>
<given-names><![CDATA[Carolina Estefanía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jaramillo Jaramillo]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Huilca Sigüenza]]></surname>
<given-names><![CDATA[Reina Magdalena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Luis Vernaza Servicio de Angiología, Cirugía Vascular y Endovascular ]]></institution>
<addr-line><![CDATA[Guayaquil ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>72</volume>
<numero>6</numero>
<fpage>315</fpage>
<lpage>318</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0003-31702020000700006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0003-31702020000700006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0003-31702020000700006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La fisiopatología de la embolización arterial de una bala con la formación de una úlcera aórtica puede ser un cuadro confuso y extraordinariamente raro. Es evidente suponer daños severos de tipo vascular, cardíaco o pulmonar como consecuencia del orificio de puerta de entrada, lo que puede llevar a una hemorragia severa y, por lo tanto, representa un riesgo vital grave, pero resulta sorprendente que este traumatismo vascular se asocie a una isquemia de una extremidad. De hecho, este tipo de lesiones han sido raramente reportadas y sus complicaciones suelen subestimarse o son tardíamente diagnosticadas. Este raro suceso se describió por primera vez durante la Primera Guerra Mundial, pero ahora este fenómeno suele asociarse a violencia civil por arma de fuego, algo que va en progresivo aumento. En este caso clínico informamos de un caso que fue tratado en nuestro centro.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The pathophysiology of a bullet arterial embolization with the formation of an aortic ulcer can be a confusing and extraordinarily rare picture. It is evident to suppose severe vascular, cardiac or pulmonary damage as a consequence of the point of entry, which can lead to severe bleeding and thus represents a serious life risk, however it is surprising that this vascular trauma is associated with ischemia of a limb. In fact, these types of injuries have been rarely reported and their complications are often underestimated or are late diagnosed. This rare event was described for the first time during the First World War, but now this phenomenon is usually associated with civil violence by firearm witch is gradually increasing. In this document, we report a case that was treated in our center by thoracic endoprosthesis and surgical resection of the foreign body though arterial surgery.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Úlcera aórtica]]></kwd>
<kwd lng="es"><![CDATA[Isquemia aguda]]></kwd>
<kwd lng="es"><![CDATA[Extremidad inferior]]></kwd>
<kwd lng="en"><![CDATA[Aortic ulcer]]></kwd>
<kwd lng="en"><![CDATA[Acute ischemia]]></kwd>
<kwd lng="en"><![CDATA[Lower limb]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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</back>
</article>
