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Ann Thorac Surg 1994;58:1748-1750
© 1994 The Society of Thoracic Surgeons

Articles

Removal of a bullet from the right heart using controlled embolization to a peripheral vein

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

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

Accepted for publication March 29, 1994.

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

A man received a gunshot wound to his face without an exit wound. His initial chest roentgenogram was normal, but a second one revealed a bullet in the chest. Under fluoroscopic monitoring, we moved the projectile from the right heart cavities to the right femoral vein, where it was removed with the patient under local anesthesia. We describe the usefulness of controlled venous embolization as the initial approach for the removal of bullets within the venous system.




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