A Travelling Projectile from the Head to the Right Ventricle. Surgical Management.

The migration of a bullet fired from a weapon from the jugular vein to the heart is a very rare condition in clinical practice and the management of such condition is not always straightforward. The authors report the case of a 49-year old female patient shot in the right temporal region with subsequent migration of the pellet through the venous system to the right ventricle. Surgical removal of the pellet was successfully accomplished using extracorporeal circulation and cardiac arrest.