Cardiac bullet embolus after thoracic vena cava penetrating injury causing tricuspid valve insufficiency.

Emboli of foreign bodies to the heart, although unusual, have been reported with increasing frequency since 1834 when Davis published the first case report of a bullet embolus. Although bullets are one of the more common foreign body emboli to the heart and beyond, a cardiac ballistic embolus is a very rare situation. In the literature very fewreports were found, so far this is a unique case, because the patient had a very dangerous lesion which is the vena cava wound associated with a cardiac embolus causing tricuspid valve insufficiency.