Paradoxical embolism of a shotgun pellet

John S. Ikonomidis, Steven J. Nisco, David H. Liang, Robert C. Robbins

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Paradoxical embolism of a projectile from the venous to arterial system is a rare occurrence, which can cause diagnostic confusion. We present a case of venous embolism of a shotgun pellet from the left upper extremity to the noncoronary sinus of the aortic valve across a secundum-type atrial septal defect. Prevention of distal embolism of the pellet was presumably a result of its containment by flow vortices created within the sinuses of Valsalva.

Original languageEnglish (US)
Pages (from-to)562-564
Number of pages3
JournalAnnals of Thoracic Surgery
Issue number2
StatePublished - Aug 1998
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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