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European Journal of Echocardiography Advance Access published online on April 2, 2009
European Journal of Echocardiography, doi:10.1093/ejechocard/jep034
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

A journey straight through the heart: the story of a bullet

Georg Goliasch1,*, Franz Wiesbauer1, Helmut Pesau2 and Thomas Binder1

1 Department of Internal Medicine II, Cardiology Unit, Vienna General Hospital, Medical University, Waehringer Guertel 18–20, A-1090 Vienna, Austria
2 Department of Surgery, Hospital Klosterneuburg, Klosterneuburg, Austria

Received 5 December 2008; accepted after revision 14 March 2009.

* Corresponding author. Tel: +43 1 40400 2893; fax: +43 1 40400 4216. E-mail address: georg.goliasch{at}gmx.at


  Abstract

Shunt malformations caused by a prior cardiac gunshot accident are a very rare cause for late deterioration of ventricular function. This case describes the long-term echocardiographic findings in a patient with a cardiac gunshot at age 13, presenting with progressive signs of congestive heart failure 25 years later.

Keywords: Cardiac gunshot; Shunt malformation; Case report


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