Perdigón cardiaco en el septo interventricular

Post-Traumatic Necrohemorragic Pancreatitis Caused by an Air Gun

“…The embolization of the projectile to the left inferior pulmonary lobe is an extremely rare entity, there being no clearly established protocol for its treatment because of the low incidence. When the projectile migrates through the vascular system, crossing the right heart chambers, it may cause symptoms of: heart failure, taponade, arrhythmia, pericarditis or embolic phenomena or, as in our case, the patient may remain clinically and haemodynamically asymptomatic [9].…”

Non-Operative Management of Multiple Left Ventricular Ballistic Injuries from Shotgun Blast

“…Due to the stability of the patient and the absence of arrhythmias or symptoms of heart failure, conservative management ensued, supporting the idea that injury severity maybe determined by size and shape of missile. 3 Management of retained cardiac projectiles has historically been controversial regarding the need for operative management versus non-operative management. Cañas et al suggest management of penetrating cardiac injury should be individualized to the specific patient and their clinical course and that retained cardiac missiles can be tolerated in select patients, given adequate assessment of their hemodynamic stability.…”

“…Cañas et al suggest management of penetrating cardiac injury should be individualized to the specific patient and their clinical course and that retained cardiac missiles can be tolerated in select patients, given adequate assessment of their hemodynamic stability. 3 While present, literature predominantly consists of case reports and small retrospective studies, most of which suggests that any retained, symptomatic missile should be removed. However, recent reports indicate a shift towards nonoperative management of penetrating cardiac injuries with retained fragments in the absence of hemodynamic instability, arrythmia, or other serious sequalae.…”

“…Due to the stability of the patient and the absence of arrhythmias or symptoms of heart failure, conservative management ensued, supporting the idea that injury severity maybe determined by size and shape of missile. 3…”