Antoine LEGRAS,Berhouet J,Bisson A,Le Nail LR,Odri GA ,Rosset Ph,Yoon DJY, Guidelines for the Discovery of an Intracardiac Foreign Body Through a Case of Metal Tip Migration to the Right Ventricle after Tibia Osteosynthesis International Journal of Surgical Case Reports 2020 2674-4171 http://dx.doi.org/10.31487/j.IJSCR.2020.02.02 https://www.sciencerepository.org/guidelines-for-the-discovery-of-an-intracardiac-foreign-body-through_IJSCR-2020-2-102 Abstract: Case: We report a case of a metallic foreign body migration from the lower limb to the right ventricle. A metal tip of 5x3mm was discovered during a cardiac investigation for a ventricular extrasystole. A few months earlier, the patient had a tibia osteosynthesis for fracture. Conclusion: We propose guidelines in case of a cardiac foreign body detection. A conservative treatment or surgical removal can be discussed depending on the clinical features, the anatomical situation and the shape of the foreign body. Keywords: Metallic foreign body, intracardiac migration, tibia osteosynthesis, lower limb fracture, metal tip in right ventricle