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Intra-myocardial Bullet causing heart block in a patient with multiple gunshot wounds: Case Report


WA Odhiambo
SW Guthua
J Munene
C Kariuki
PW Thanga

Abstract

Elective removal of intra-myocardial bullet remains a controversial subject. A non-operative approach has been recommended as appropriate for a stable asymptomatic patient. In the presence of complications such as bleeding, perforation leading to cardiac tamponade, thrombus formation, embolization, rhythm disturbances and infections, surgical removal may be advised. We present a patient who survived multiple gunshot wounds with
a bullet lodged in the wall of the left ventricle of the heart. Details of the injuries sustained, operative removal of the bullet and the challenges that ensued are illustrated.

Journal Identifiers


eISSN: 2523-0816
print ISSN: 1999-9674