Use of transesophageal echocardiography in the detection and consequences of an intracardiac bullet

Endovascular management of an intracardiac bullet

“…2). Some have suggested that the use of ultrasound, transthoracic echocardiography, or transesophageal echocardiography may aid in diagnosis and localization [8][9][10]. However, an arteriogram or a venogram is often necessary to discern the exact position of the bullet [11].…”

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

“…“Cardiac foreign bodies” and “intracardiac foreign bodies” are terms used interchangeably in some of the human literature to describe any foreign object overlaying the cardiac silhouette on radiography . Cardiac foreign bodies are more clearly described as any object located in the pericardial sac, myocardium, or within any of the cardiac chambers.…”

Left Ventricular Bullet Embolus: A Case Report and Review of the Literature

“…In addition, TTE may have limited visibility secondary to overlying bandages, large body habitus or, in our case, excessive subcutaneous emphysema (16). Transesophageal echocardiography is generally regarded to be superior to TTE (15,16). In addition to precise localization of the projectile, TEE can also help determine the extent of myocardial damage and injury to intracardiac structures (e.g., valves, septum).…”

“…Whereas TTE can often determine the presence or absence of a pericardial effusion, its efficacy in determining myocardial damage and precise location of the projectile has not been established (15). In addition, TTE may have limited visibility secondary to overlying bandages, large body habitus or, in our case, excessive subcutaneous emphysema (16). Transesophageal echocardiography is generally regarded to be superior to TTE (15,16).…”