Directly to the Heart

A 24-year-old male was intentionally shot with a 0.410-caliber rifle to the anterior chest from a distance of about 10 m. The patient did not lose consciousness and was able to seek medical assistance on his own. On presentation, the patient had normal vital signs. A chest x-ray (Figure 1) and thoracoabdominal computed tomographic scan (Figures 2 and 3⇓) were immediately performed and showed multiple metallic foreign bodies, most of them in …