Archives of the Turkish Society of Cardiology
An asymptomatic patient with a pellet within the myocardium [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2012; 40(2): 171-173 | DOI: 10.5543/tkda.2012.01812

An asymptomatic patient with a pellet within the myocardium

Fethi Kılıçaslan1, Mustafa Aparcı1, Ömer Uz1, Ersin Özturk2
1Department of Cardiology, Gata Haydarpasa Training And Research Hospital, Istanbul, Turkey
2Department of Radiology, Gata Haydarpasa Training And Research Hospital, Istanbul, Turkey

Penetrating injuries to the myocardium are rare but potentially lethal. We present a 22-year-old asymptomatic male patient with a pellet lodged in the myocardium as a result of a gunshot that took place three years before. His medical history was otherwise unremarkable. The chest X-ray showed multiple pellets within the thorax. Computed tomography of the chest demonstrated many pellets in the anterior chest wall, while a few lodging within the lung tissue and one within the myocardium. Transthoracic echocardiography showed a pellet within the left ventricular myocardium presenting as an acoustic shadowing. Thickening of the adjacent pericardium was also noted. There were no signs of constrictive pericarditis or regional wall motion abnormality. Holter monitoring and treadmill exercise test did not show any abnormal finding. The patient was included in a periodic follow-up program.

Keywords: Foreign bodies, heart injuries/etiology

How to cite this article
Fethi Kılıçaslan, Mustafa Aparcı, Ömer Uz, Ersin Özturk. An asymptomatic patient with a pellet within the myocardium. Turk Kardiyol Dern Ars. 2012; 40(2): 171-173

Corresponding Author: Ömer Uz, Türkiye
© Copyright 2019 Archives of the Turkish Society of Cardiology
LookUs & Online Makale