Abstract

Air powered guns are capable of propelling their projectiles at high velocities, rivaling traditional small caliber firearms in the potential for serious injuries. Management options regarding thoracic/cardiac pellet gun injuries are based on the presentation and stability of the patient and the location of the retained pellet. We are reporting a case of a patient in whom an air rifle pellet, after right atrial appendage entry, lodged in the interventricular septum. The patient was asymptomatic and the pellet was removed successfully after localization by roentgenography, Computed Tomography (CT) scan, and echocardiography.

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