Peripheral venous bullet embolization to the heart is a rare event. We report our experience with one patient who suffered peripheral venous bullet embolization to the right ventricle and review the 38 patients with this phenomenon previously reported in the literature. The clinical presentation of patients with peripheral venous bullet embolization to the right ventricle is discussed. In addition, the indications for surgery and the therapeutic approaches available to patients with bullet embolization are discussed.