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Ann Thorac Surg 1988;46:102-103
© 1988 The Society of Thoracic Surgeons

Articles

The Importance of Two-Dimensional Echocardiography in the Location of a Bullet Embolus to the Right Ventricle

Bram J. Amsel, M.D.*, Marc Van Der Mast, M.D., Luc De Bock, M.D., Rudolf van Haasen, M.D., Cornelia Beeckman, M.D.

Departments of Cardiovascular Surgery and Anesthesiology, University Hospital of Antwerp, Antwerp-Edegem, Belgium

Accepted for publication January 25, 1988.

* Address reprints requests to Dr. Amsel, Department of Cardiovascular Surgery, University Hospital of Antwerp, Wilrijkstr. 10, 2520 Antwerp-Edegem, Belgium

Bullets which enter a sufficiently large vein may embolize to the right ventricle. This finding is usually determined after the bullet has been removed from the heart. A chest x-ray study cannot, however, differentiate with certainty between localization in the right ventricular cavity, the right ventricular wall, or the pericardium. We recommend echocardiography to document bullet localization in the right ventricular cavity prior to surgical removal.




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