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The Annals of Thoracic Surgery, Vol 58, 1748-1750, Copyright © 1994 by The Society of Thoracic Surgeons


ARTICLES

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

DP Pecirep and HR Hopkins
Department of Cardiothoracic and Vascular Surgery, Hospital Centro Medico de Caracas, San Bernardino, Venezuela.

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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