Venous bullet embolism to the right ventricle: Case report and review of management

Figures

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  Figure 1. Initial chest X‐ray obtained in the trauma bay

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  Figure 2. A, Computed tomography scan showing the right shoulder. Upper frame shows posterior gunshot wound and trajectory of the bullet through the glenoid of the scapula. Lower frame shows the axillary artery contrasted and the subclavian vein with a filling defect just anterior to the artery. B, Frames A‐D are sequential cuts, cephalad to caudad, showing the right and left ventricles clearly with a bullet in the right ventricle apex

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  Figure 3. View of the bullet after removal from the right ventricle. The open right atrium is seen below

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  Figure 4. Deformed but intact, full metal jacketed handgun round. The diameter at the base of the bullet measures 0.375 inches or 0.38 caliber. This round is most likely from a 0.38 caliber handgun