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(Chest. 1998;114:1459-1462.)
© 1998 American College of Chest Physicians

Cardiac Murmur Associated With an Abnormal Chest X-ray Film

Robert B. H. Myers MD1 and Christopher D. Morgan MD1

1 From the Division of Cardiology, Sunnybrook Health Science Centre, University of Toronto, Toronto, Ontario, Canada

Christopher D. Morgan, MD, Division of Cardiology Room E203, Sunnybrook Health Science Centre, 2075 Bayview Ave, Toronto, Ontario, M4N 3M5, Canada; e-mail: chris.morgan{at}sunnybrook.on.ca

Investigation of a cardiac murmur and thrill in an asymptomatic 35-year-old man revealed a foreign body lying within the left ventricular cavity. Upon questioning, the man revealed that he had been shot in the chest years earlier. This is the first reported adult case of a retained intracardiac bullet causing a ventricular septal defect.

Submitted on February 13, 1998
Accepted on April 2, 1998






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