Arq. Bras. Cardiol. 2022; 119(1): 133-135
Thoracic and Intramyocardial Pellets, an Incidental Finding in a Patient with Acute Myocardial Infarction
Valente Fernandez-Badillo
, Mauricio Garcia-Cardenas
, Diego Oliva-Cavero
, Jose Carlos Armendariz-Ferrari
, Erick Alexanderson-Rosas
, Nilda Espinola-Zavaleta
Introduction
Penetrating cardiac trauma is fatal; approximately more than half of affected people die at the scene. Penetrating myocardial wounds are rare, and the retention of cardiac pellets is poorly documented in literature. There are no standardized protocols for their diagnostic and therapeutic approach until now. Clinical presentation of a shotgun injury depends on the wound size, entry site, and the injury to the great vessels. In penetrating chest trauma, both ventricles are injured with similar frequency, but the right ventricle is the most entry site because it forms most of the anterior surface of the heart.
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