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An illustration of the penetrating injury to the anterior chest wall is shown. The injury was located in the 6th intercostal space, 3 cm from the anterior midline.
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Post-mortem exam showed a small penetrating wound to the anterior 6th intercostal space 3 cm to the left of midline (Fig. 1).
An illustration of the relationship between the penetrating injury to the heart and esophagus.
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The bullet then coursed from the anterior apex of the left ventricle, through the posterior aspect of the base of the left ventricle, through the posterior pericardium, and through the anterior esophagus (Fig. 2).