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Emerg Med J 2009;26:839 doi:10.1136/emj.2008.067900
  • Emergency casebooks

Bullet embolisation from the right subclavian vein to the right ventricle: a case report

  1. C-J Wu1,
  2. K M Chiu2,
  3. S H Chu2,
  4. S J Li3
  1. 1
    Department of Emergency Medicine, Far Eastern Memorial Hospital, Taipei, Taiwan
  2. 2
    Division of Cardiovascular Center, Far Eastern Memorial Hospital, Taipei, Taiwan
  3. 3
    Department of Cardiovascular Surgery, Min Sheng General Hospital, Taoyuan, Taiwan
  1. Correspondence to Dr C-J Wu, Department of Emergency Medicine, Far Eastern Memorial Hospital, 21, Sec.2 Nan-Ya South Road, Panciao, Taipei, Taiwan 220; chunjenwu{at}hotmail.com
  • Accepted 27 December 2008

Abstract

Bullet embolism to the heart is an unusual complication of penetrating gunshot injuries. A bullet may reach the heart by direct cardiac penetration or entry into the peripheral venous system with embolisation to the heart, which must be differentiated. This is a report of an unusual case of bullet embolism to the heart that was extracted by direct cardiotomy without cardiopulmonary bypass.

Footnotes

  • Competing interests None.

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