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The Annals of Thoracic Surgery, Vol 46, 102-103, Copyright © 1988 by The Society of Thoracic Surgeons

ARTICLES

The importance of two-dimensional echocardiography in the location of a bullet embolus to the right ventricle

BJ Amsel, M Van der Mast, L De Bock, R van Haasen and C Beeckman
Department of Cardiovascular Surgery, University Hospital of Antwerp, 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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