Mobile Intrapericardial Bullet: Case Report and Review of the Literature

Davis, Richard E.; Bruno, Anthony; Larsen, Wade B.; Sugimoto, Jeffrey T.; Gaines, Ray D.

doi:10.1097/01.ta.0000066126.25269.b7

Cited by 13 publications

(14 citation statements)

References 8 publications

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“…More recently, Burkhart et al reported that out of 21 conservatively treated patients, 15 (71.4%) eventually required removal of their small and smooth pericardial foreign body due to development of 1 or more complications such as pericardial effusion . This sentiment has been echoed by various other authors, although some patients with pericardial foreign bodies do not develop complications …”

Section: Discussionmentioning

confidence: 81%

Diagnostic challenges and treatment options of a suspected pericardial metallic projectile foreign body in a dog

Elliott

Mayhew

2011

J Vet Emergen Crit Care

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Considering the high rate of complications that develop in human patients where the foreign bodies are not removed, veterinarians should be aware of risks associated with long standing pericardial foreign bodies even when no clinical signs are present. Guidelines from the human literature may be considered for investigation of, and treatment options for, cardiac and intracardiac metallic projectile foreign bodies in dogs.

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Section: Discussionmentioning

confidence: 81%

Diagnostic challenges and treatment options of a suspected pericardial metallic projectile foreign body in a dog

Elliott

Mayhew

2011

J Vet Emergen Crit Care

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“…In most reports [1][2][3][4][5][6][7], the removal of the free foreign body in the pericardial cavity was performed by thoracotomy. However, the procedure was performed by subxiphoid approach, during surgery guided by fluoroscopy to locate the bullet.…”

Section: Discussionmentioning

confidence: 99%

“…Potentially, it can develop cardiac tamponade, pericarditis with sterile (or not) effusion, and other significant complications. Indeed, the outcome of conservative treatment for intrapericardial foreign bodies is unpredictable, often associated with complications [1][2][3][4][5][6][7].…”

Section: Discussionmentioning

confidence: 99%

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Projétil intrapericárdico móvel

Marsico¹,

Almeida²,

Azevedo³

et al. 2009

Rev Bras Cir Cardiovasc

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Patients with bullets in the pericardial sac without myocardial injuries are rare, and most commonly are associated with significant trauma. The diagnosis of an intrapericardial foreign body can be difficult. Its removal is always indicated because it prevents pericarditis, either sterile or infectious, with potential for other significant complications. The authors present two cases of a meandering bullet in the pericardial sac and propose approach and perform review of the literature. Descriptors

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“…Post-traumatic [3][4][5][6] and iatrogenic [7,8] foreign bodies have been reported. Approaches for removing foreign bodies traditionally have been limited to open techniques, bronchoscopy or endoscopic removal.…”

Section: Introductionmentioning

confidence: 99%

Thoracoscopic removal of a suture needle from the posterior pericardium after coronary artery bypass grafting

Liu

Gilkeson

Markowitz

et al. 2011

Interactive CardioVascular and Thoracic Surgery

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We demonstrate a minimally-invasive thoracoscopic approach [video-assisted thoracic surgery (VATS)] for removal of a retained pericardial suture needle after standard coronary artery bypass grafting (CABG) surgery. A 46-year-old male presented with unstable angina. His workup demonstrated significant coronary artery disease for which he underwent a six vessel CABG, including entering the left chest for preparation of the left internal mammary artery (LIMA). At seven weeks, a postoperative chest X-ray demonstrated a foreign body (suture needle) present in the cardiac silhouette. Further computed tomography (CT)-scan imaging confirmed the suture needle to be localized in the left inferior-posterior pericardium. The patient underwent a left VATS exploration for removal of the suture needle. The pericardial suture needle was successfully retrieved thoracoscopically. The chest tube was removed on the first postoperative day and the patient was discharged to home on the second postoperative day. The patient's postoperative course and recovery were uneventful. A minimally-invasive approach can be undertaken for the removal of a foreign body even after prior open chest surgery, avoiding the associated morbidity of a repeat sternotomy.

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Mobile Intrapericardial Bullet: Case Report and Review of the Literature

Cited by 13 publications

References 8 publications

Diagnostic challenges and treatment options of a suspected pericardial metallic projectile foreign body in a dog

Diagnostic challenges and treatment options of a suspected pericardial metallic projectile foreign body in a dog

Projétil intrapericárdico móvel

Thoracoscopic removal of a suture needle from the posterior pericardium after coronary artery bypass grafting

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