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Bullet Embolus to the Heart after Gunshot Wound to the Neck: A Case Report

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A 43-year-old woman presented with gunshot wounds to the neck, chest, and left thigh. Computed tomography of the neck and chest with intravenous contrast revealed a left common carotid pseudoaneurysm and a foreign body in the right atrium. Preoperative chest x-ray and CT scan confirmed a metallic foreign body in the right heart. At median sternotomy, the intracardiac foreign body could not be located using fluoroscopy. The foreign body (bullet) was subsequently removed in the cardiac catheterization laboratory using a percutaneous transvenous basket extraction through a right femoral vein cutdown.
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Document Type: Research Article

Affiliations: 1: From the Department of Surgery, University of Kansas School of Medicine—Wichita, Wichita, Kansas and 2: From the Department of Surgery, University of Kansas School of Medicine—Wichita, Wichita, Kansas and, Division of Trauma, Via Christi Regional Medical Center, Wichita, Kansas

Publication date: December 1, 2007

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  • The Southeastern Surgical Congress owns and publishes The American Surgeon monthly. It is the official journal of the Congress and the Southern California Chapter of the American College of Surgeons, which all members receive each month. The journal brings up to date clinical advances in surgical knowledge in a popular reference format. In addition to publishing papers presented at the annual meetings of the associated organizations, the journal publishes selected unsolicited manuscripts. If you have a manuscript you'd like to see published in The American Surgeon select "Information for Authors" from the Related Information options below. A Copyright Release Form must accompany all manuscripts submitted.
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