Archives of the Turkish Society of Cardiology
Retained pericardial pellets for 25 years: a case report [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2010; 38(6): 426-428

Retained pericardial pellets for 25 years: a case report

Murat Başkurt, Cüneyt Koçaş, Murat K Ersanlı, Tevfik Gürmen
Department of Cardiology, Cardiology Institute, İstanbul University, Istanbul, Turkey

Retained cardiac pellets are clinically silent foreign bodies that do not cause any cardiovascular disturbance. A 71-year-old woman presented with exertional chest pain. Her physical examination and surface electrocardiogram were normal. After a positive treadmill test, coronary angiography was performed which showed nonsignificant coronary lesions. During fluoroscopy, several pellets were observed throughout the neck and two of them were simultaneously moving within the heart shadow. Transthoracic and transesophageal echocardiography showed no evidence for pericardial effusion. Computed tomography scans of the chest showed the pellets above the left diaphragm in the pericardial area. Her past medical history revealed an accidental shot from a pellet rifle by her son 25 years before, at which time no surgical intervention was planned as she had been asymptomatic.

Keywords: Foreign bodies, heart injuries, pericardium/injuries, wounds, gunshot

How to cite this article
Murat Başkurt, Cüneyt Koçaş, Murat K Ersanlı, Tevfik Gürmen. Retained pericardial pellets for 25 years: a case report. Turk Kardiyol Dern Ars. 2010; 38(6): 426-428

Corresponding Author: Murat Başkurt, Türkiye
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