Original communication| Volume 69, ISSUE 2, P229-231, February 1971

Flechette wounds of the heart

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      A new type of missile causing injury to the heart, a flechette from a beehive type of round, is described.
      The injury is unique because: (1) Myocardial wounds are usually small, resulting in symptoms of cardiac tamponade and not exsanguinating hemorrhage. (2) Flechettes are long dart-shaped objects which, regardless of initial management, should ultimately be removed from the vinicity of the heart and great vessels. (3) The wound of entry of a flechette may be so small that it may pass virtually unnoticed unless the initial inspection of the patient is meticulous and the index of suspicion is high.
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