Cardiac tamponade caused by myocardial erosion secondary to the firearm pellet injury

摘要: A 20-year-old man presented with severe dyspnea after a thoracic firearm injury. Many pellets distributed in the wall and an enlarged cardiac silhouette was detected on chest X-ray. Electrocardiogram demonstrated regular sinus rhythm low voltage. Transthoracic echocardiography (TTE) revealed pericardial effusion causing tamponade presence of swinging retained pellet pericardium absence intra extracardiac shunt (Figure 1 2). The patient transferred to operating room examination heart showed intrapericardial localization erosion left side myocardium without any coronary artery other injures 3). Primary suture performed patch beating successfully. After operation TTE again no abnormalities. This case highlights role emergency exclude or confirm potential injury importance rapid diagnosis should be emphasized reduce mortality due [1, 2].