Bullet fragment venous embolus to the heart: case report.
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.
Van Arsdell
G S
GS
Division of Cardiothoracic Surgery, Loma Linda University School of Medicine, CA 92354.
Razzouk
A J
AJ
Fandrich
B L
BL
Shakudo
M
M
Schmidt
C A
CA
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