Case reportA Foreign Body in the Heart Due to an Unusual Injury
Section snippets
Comment
It is extremely rare to suffer an open injury to the heart and experience no severe symptoms.
The injury previously discussed could be explained as follows: by absorbing kinetic energy (given off by the surface speed of the circular saw), the spring segment acts as a projectile. It is likely that the wire penetrated the right atrial wall longitudinally through the small puncture hole. Because of the elasticity of the right atrial wall, there was no bleeding into the pericardial cavity and thus
References (8)
- et al.
Missiles in the heart
Ann Thorac Surgery
(1989) - et al.
Piece of glass in the heart
Ann Thorac Surg
(2006) - et al.
Needle embolus causing cardiac puncture and chronic constrictive pericarditis
Ann Thorac Surg
(1998) - et al.
Successful salvage of post-traumatic metallic foreign body partially retained in the posterior papillary muscle of the left ventricle
Interact Cardio Vasc Thorac Surg
(2006)
Cited by (11)
Penetrating cardiac trauma
2023, Surgery Open ScienceCitation Excerpt :Symptoms attributable to these foreign bodies, including cardiac tamponade and arrhythmia, are considered a primary indication for removal [37,38]. Simple extraction of the offending object does however pose further risks of damage to a potentially unstable patient (e.g. a missile that approximates a coronary artery or is deeply embedded within the myocardium and tamponading the wound) [39,40]. Furthermore, manipulation of foreign bodies contained within the left heart require great care and speed due to the high risk of critical embolization [41].
An unusual intracardiac foreign body following penetrating thoracic injury
2017, Diagnostic and Interventional ImagingRetrieval of surgical blade by open thoracotomy - A case report of an iatrogenic complication
2014, Egyptian Journal of AnaesthesiaCitation Excerpt :However, the small and clean objects located in the periphery are well tolerated and can be left behind [1]. The foreign body, lying in proximity to the right coronary artery bears the potential risk of bleeding, embolization, endocarditis or pericarditis, surgical therapy is indicated in such patients in spite of the fact that patient is asymptomatic [4]. We planned to explore our patient, because of presence of sharp object and its proximity to superior vena cava.
Technical considerations in the management of penetrating cardiac injury
2022, Canadian Journal of SurgeryAn unusual penetrating shrapnel in the heart
2022, Asian Cardiovascular and Thoracic AnnalsSelf-mutilation: Needles within the heart
2020, New Armenian Medical Journal