Percutaneous Removal of Intravascular Pellet Following Penetrating Cardiac Trauma


There is controversy regarding the management of projectile embolization, a rare complication of penetrating trauma. We present the case of a 5-year-old, 20 kg male with retrograde venous projectile embolization following traumatic injury with a pellet gun. The projectile was successfully removed utilizing a novel, percutaneous approach.

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Correspondence to Joshua D. Chew.

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The authors declare that they have no conflicts of interest related to this report.

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As this is a case report, this article does not contain any studies with human participants or animals performed by any of the authors.

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Informed consent was obtained prior to all clinical procedures in accordance with standard clinical practice.

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Penetrating injury to the left ventricle just leftward to the left anterior descending coronary and cephalad to a diagonal branch. Supplementary material 1 (MOV 98554 kb)

Penetrating injury to the left ventricle just leftward to the left anterior descending coronary and cephalad to a diagonal branch. Supplementary material 1 (MOV 98554 kb)

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Chew, J.D., Nicholson, G.T., Mettler, B.A. et al. Percutaneous Removal of Intravascular Pellet Following Penetrating Cardiac Trauma. Pediatr Cardiol 39, 191–194 (2018) doi:10.1007/s00246-017-1689-3

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  • Embolus
  • Projectile
  • Pediatric
  • Foreign body retrieval