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Chronic Ventricular Septal Defect and Retained Bullet After Gunshot: Best Not to Reopen Old Wounds
Ioana Tereza Florica1, Nicolas D Santi2, Elsie T Nguyen3
1Department of Internal Medicine, Kingston Health Sciences Center, Queen's University, Kingston, Ontario, Canada.
Insights
A retained bullet in the heart, from a past gunshot wound, was incidentally found in a patient with a myocardial infarction. This case highlights conservative management for a bullet and ventricular septal defect.
Area of Science:
- Cardiology
- Trauma Surgery
Background:
- Penetrating cardiac trauma from gunshots is typically fatal.
- Delayed complications of cardiac gunshot wounds are rarely reported.
Abstract:
Penetrating cardiac trauma from gunshots is usually fatal. We describe the case of a 62-year-old male presenting with ST-segment elevation myocardial infarction. A retained bullet embedded into the left ventricle was identified incidentally along with a ventricular septal defect from a gunshot wound decades prior. The ventricular septal defect and retained bullet were managed conservatively. (Level of Difficulty: Intermediate.).
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