Evidence map›Paper›PMID 41396078›Full record

ArticleJACC. Case reports2026

Transvenous Bullet Embolism: A Case Report of a Successful Right Ventricular "Bulletectomy".

Omar Toubat, Nikhil Ganjoo, Joav Birjiniuk, John J Kelly, Alexandra E Sperry, Michael A Catalano, Elizabeth Zhou, Asad Usman, Wilson Y Szeto

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Omar ToubatDivision of Cardiovascular Surgery, Department of Surgery, Penn Presbyterian Medical Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Nikhil GanjooDivision of Cardiovascular Surgery, Department of Surgery, Penn Presbyterian Medical Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Joav BirjiniukDivision of Cardiovascular Surgery, Department of Surgery, Penn Presbyterian Medical Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
John J KellyDivision of Cardiovascular Surgery, Department of Surgery, Penn Presbyterian Medical Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Alexandra E SperryDivision of Cardiovascular Surgery, Department of Surgery, Penn Presbyterian Medical Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Michael A CatalanoDivision of Cardiovascular Surgery, Department of Surgery, Penn Presbyterian Medical Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Elizabeth ZhouDepartment of Anesthesiology and Critical Care, Penn Presbyterian Medical Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Asad UsmanDepartment of Anesthesiology and Critical Care, Penn Presbyterian Medical Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Wilson Y SzetoDivision of Cardiovascular Surgery, Department of Surgery, Penn Presbyterian Medical Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA. Electronic address: wilson.szeto@pennmedicine.upenn.edu.

Funding

NHLBI NIH HHS L30 HL159698
6 · The paper itself

Abstract

backgroundBullet emboli are a rare complication of ballistic trauma where ballistic fragments penetrate the vascular system and migrate to distant sites. CASE SUMMARY: We present a case of a 35-year-old man with a gunshot wound to the right upper back. Despite hemodynamic stability, serial imaging demonstrated bullet migration from the right supraclavicular area to the right ventricular apex. Surgical retrieval via median sternotomy and central cardiopulmonary bypass was successfully performed. DISCUSSION: This case highlights the importance of serial imaging and review indications for surgical management of hemodynamically stable patients with bullet embolisms. TAKE-HOME MESSAGES: Surgery is indicated for the management of bullet embolisms in stable patients when significant migration occurs. Diagnostic transesophageal echocardiography is critical for confirming the intracardiac location of such fragments and guiding intervention.

Indexed as

bullet embolismpenetrating thoracic traumaretained cardiac missile

Identifiers

PMID41396078
PMCPMC12882676

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.