title: Bullet fragment venous embolus to the heart: case report.
abstract: This report describes a case of bullet fragment embolus to the heart following a small-caliber gunshot wound to the mouth. Skull and C-spine films appeared to account for the projectile; however, chest X-ray followed by fluoroscopy and two-dimensional echocardiography demonstrated a venous missile embolus in the right heart. The bullet was palpated, trapped in the right ventricle, and easily extruded.
authors.affiliation: Division of Cardiothoracic Surgery, Loma Linda University School of Medicine, CA 92354.
authors.forename: G S
authors.initials: GS
authors.lastname: Van Arsdell
authors.forename: A J
authors.initials: AJ
authors.lastname: Razzouk
authors.forename: B L
authors.initials: BL
authors.lastname: Fandrich
authors.forename: M
authors.initials: M
authors.lastname: Shakudo
authors.forename: C A
authors.initials: CA
authors.lastname: Schmidt
mesh_terms: D000328:Adult; D004452:Echocardiography; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000601:surgery; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D009055:Mouth / Q000293:injuries; D011859:Radiography; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging