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J Thorac Cardiovasc Surg 2003;126:293-295
© 2003 The American Association for Thoracic Surgery

Brief communication

Transcardiac gunshot wound recognized forty-eight years later

James B. McClurken, MDa,*, William J. Hammer, MDb, Bradford J. Lin, MDb

a The Divisions of Thoracic and Cardiovascular Surgery, Abington Memorial Hospital and Temple University Hospital, Abington and Philadelphia, Pa, USA
b Division of Cardiology, Abington Memorial Hospital and Chestnut Hill Hospital, Abington and Philadelphia, Pa USA

Abington and Philadelphia, Pa Received for publication November 13, 2002; accepted for publication December 16, 2002.

* Address for reprints: James B. McClurken, MD, Suite G28, Levy Medical Plaza, 1235 Old York Rd, Abington, PA 19001 USA

Key Words: 5 • 17 • 18

The first 20% of the full text of this article appears below.


James B. McClurken


Current treatment for transcardiac gunshot wounds (GSWs) includes expedient surgical repair. We performed coronary revascularization on a veteran of the Korean conflict who had been shot in the left axilla. The bullet was retrieved 2 days after the GSW through a superficial right chest wall incision, and the patient was told the missile "missed his heart by an inch." During the recent revascularization, plug-like calcific scars proved entrance at the lateral left atrium base of the appendage and exit at the right atrium midlateral wall. Thus this might represent the first reported survivor of a transcardiac GSW without direct repair.

Clinical Summary

A 70-year-old hypertensive man had worsening stress test results. Catheterization revealed a 35% lesion of the . . . [Full Text of this Article]




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Late Mitral Valve Regurgitation After Bullet Wound to the Heart
Ann. Thorac. Surg., August 1, 2006; 82(2): 737 - 739.
[Abstract] [Full Text] [PDF]


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