Penetration of the Heart by an Airgun Pellet: A Case Without Significant Effusion or Valvular Injury.


Journal

The Annals of thoracic surgery
ISSN: 1552-6259
Titre abrégé: Ann Thorac Surg
Pays: Netherlands
ID NLM: 15030100R

Informations de publication

Date de publication:
07 2019
Historique:
received: 12 09 2018
revised: 05 11 2018
accepted: 09 11 2018
pubmed: 21 12 2018
medline: 26 9 2019
entrez: 21 12 2018
Statut: ppublish

Résumé

Cardiac gunshot injuries are rare in the United Kingdom, but they are associated with significant morbidity and mortality. We present the case of a young male who was shot at close range with a low-caliber air rifle. The projectile entered the thorax through the right axilla, but it was identified at the cardiac apex on initial imaging. Subsequent investigations demonstrated the pellet at the apex of the left ventricle. The potential for embolization was considered, and the pellet was retrieved after surgical exploration. No significant valvular injury was sustained despite the pellet's trajectory, and the patient made an uncomplicated recovery.

Identifiants

pubmed: 30571952
pii: S0003-4975(18)31834-4
doi: 10.1016/j.athoracsur.2018.11.034
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e9-e10

Informations de copyright

Copyright © 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Auteurs

George Greenlees (G)

Faculty of Undergraduate Education, New Cross Hospital, Wolverhampton, United Kingdom. Electronic address: george.greenlees@nhs.net.

Paul Govewalla (P)

Department of Cardiothoracic Surgery, Northern General Hospital, Sheffield, United Kingdom.

Yama Haqzad (Y)

Department of Cardiothoracic Surgery, Northern General Hospital, Sheffield, United Kingdom.

Annabel Sharkey (A)

Department of Cardiothoracic Surgery, Northern General Hospital, Sheffield, United Kingdom.

Neil Cartwright (N)

Department of Cardiothoracic Surgery, Northern General Hospital, Sheffield, United Kingdom.

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Classifications MeSH