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The Annals of Thoracic Surgery, Vol 56, 370-372, Copyright © 1993 by The Society of Thoracic Surgeons

ARTICLES

Bullet embolization to a coronary artery

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

A rare case of coronary artery embolization is presented. A 48-year-old man arrived with multiple pellet wounds, severe chest pain, and an inferior myocardial infarction. Chest roentgenograms showed one of the pellets overlying the cardiac shadow, and coronary arteriography revealed complete occlusion of the posterior descending branch of the right coronary artery with a radiopaque foreign body, which corresponded exactly to the pellet first seen. Intravascular arterial embolization of small caliber bullets has been reported in the abdomen, lower extremities, and the carotid territory. Here we report such an event occurring in the coronary circulation.

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