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Ann Thorac Surg 1993;56:370-372
© 1993 The Society of Thoracic Surgeons

Articles

Bullet embolization to a coronary artery

Henry R. Hopkins, MD*, Dragan P. Pecirep, MD

Department of Cardiothoracic and Vascular Surgery, Hospital Centro Medico de Caracas, San Bernardino, Caracas, Venezuela

Accepted for publication October 16, 1992.

* Address reprint requests to Dr Hopkins, M-330, c/o Jet Cargo International, PO Box 020010, Miami, FL 33102-0010.

A rare case of coronary artery embolization is presented. A 48-year-old man arrived with multiple pellet wounds, severe chest pain, and an inferior myocardial infarction. Chest roentgenograms showed one of the pellets overlying the cardiac shadow, and coronary arteriography revealed complete occlusion of the posterior descending branch of the right coronary artery with a radiopaque foreign body, which corresponded exactly to the pellet first seen. Intravascular arterial embolization of small caliber bullets has been reported in the abdomen, lower extremities, and the carotid territory. Here we report such an event occuring in the coronary circulation.




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