<![CDATA[Foreign body in the left ventricle is rare and it is associated most commonly with significant trauma. The diagnosis of a foreign body in the left ventricle can be difficult. One must distinguish between foreign matter in the cardiac chamber or free-floating in the mediastinum. Our case was male, 38 years old. He presented not only with typical complaints of chest pain and dyspnea, but also with the complaint of a "foreign body" in the right of his chest after a work accident. Physical examination and serial chest X-rays on the earlier survey showed right hemothorax and foreign body appearance on the back wall of the heart. Insertion of chest tube with water sealed drainage was done as a primary treatment. On the echocardiography and fluoroscopy examination, we found foreign body appearance in the left ventricle. To prevent myocarditis, either sterile or non-sterile, with potential for other significant complications, removal of an intraventricle foreign body is always indicated. Cito open heart with heart-lung machine was performed to extract the foreign body. There was no complication after 7 month evaluation.Key words: Foreign body removal - In the left ventricle - Work accident - Cito open heart]]>
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