title: Bullet embolus to the heart after gunshot wound to the neck: a case report.
abstract: A 43-year-old woman presented with gunshot wounds to the neck, chest, and left thigh. Computed tomography of the neck and chest with intravenous contrast revealed a left common carotid pseudoaneurysm and a foreign body in the right atrium. Preoperative chest x-ray and CT scan confirmed a metallic foreign body in the right heart. At median sternotomy, the intracardiac foreign body could not be located using fluoroscopy. The foreign body (bullet) was subsequently removed in the cardiac catheterization laboratory using a percutaneous transvenous basket extraction through a right femoral vein cutdown.
authors.affiliation: Department of Surgery, University of Kansas School of Medicine-Wichita, Wichita, Kansas 67214, USA.
authors.forename: Jacob M
authors.initials: JM
authors.lastname: Breeding
authors.forename: R Stephen
authors.initials: RS
authors.lastname: Smith
authors.forename: Jonathan M
authors.initials: JM
authors.lastname: Dort
mesh_terms: D000328:Adult; D006328:Cardiac Catheterization; D004617:Embolism / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D005260:Female; D005547:Foreign Bodies / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006352:Heart Ventricles; D006801:Humans; D019838:Neck Injuries / Q000150:complications*; D014948:Wounds, Gunshot / Q000150:complications*