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Intra-Aortic Missile After Gunshot Wound to Chest: An Interesting Case of Traumatic Cardiac Injury Charles D. Fraser, MD, Lee Goeddel, MD, Nishant D. Patel, MD, Said C. Azoury, MD, Joshua C. Grimm, MD, Rosanne B. Sheinberg, MD, Christopher M. Sciortino, MD, PhD The Annals of Thoracic Surgery Volume 103, Issue 5, Pages e441-e442 (May 2017) DOI: 10.1016/j.athoracsur.2016.10.012 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Chest x-ray taken in the emergency department showing mediastinal foreign body. The Annals of Thoracic Surgery 2017 103, e441-e442DOI: (10.1016/j.athoracsur.2016.10.012) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Fluoroscopic and (B) transesophageal echocardiographic imaging obtained intraoperatively revealing a projectile in the aortic root. The Annals of Thoracic Surgery 2017 103, e441-e442DOI: (10.1016/j.athoracsur.2016.10.012) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Aortotomy revealing projectile in noncoronary sinus of the aortic valve. The Annals of Thoracic Surgery 2017 103, e441-e442DOI: (10.1016/j.athoracsur.2016.10.012) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions