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An Intact Pericardium Ischemic Rodent Model

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Retained pericardial pellets for 25 years: a case report.

Murat Başkurt¹, Cüneyt Koçaş, Murat K Ersanlı

¹Department of Cardiology, Cardiology Institute, İstanbul University, İstanbul, Turkey. drmuratbaskurt@yahoo.com

Turk Kardiyoloji Dernegi Arsivi : Turk Kardiyoloji Derneginin Yayin Organidir

|January 5, 2011

Summary

Clinically silent cardiac pellets, retained foreign bodies, can be asymptomatic for years. This case highlights their potential for incidental discovery during cardiac investigations for unrelated symptoms.

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Area of Science:

Cardiology
Radiology
Trauma Surgery

Background:

Retained foreign bodies, such as pellets, are typically asymptomatic.
Cardiac pellets are rare and usually do not cause cardiovascular disturbance.

Observation:

A 71-year-old woman presented with exertional chest pain.
Coronary angiography revealed nonsignificant coronary lesions.
Fluoroscopy identified pellets within the heart shadow, later localized to the pericardial area via CT scans.

Findings:

Incidental finding of retained cardiac pellets in a patient with exertional chest pain.
Pellets were asymptomatic for 25 years following accidental pellet rifle injury.
No evidence of pericardial effusion or significant cardiovascular disturbance related to the pellets.

Implications:

Highlights the importance of thorough patient history in diagnosing incidental findings.
Demonstrates that retained cardiac foreign bodies can remain clinically silent for decades.
Suggests a conservative management approach for asymptomatic retained cardiac pellets.