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Intramyocardial sewing needle extracted one year after insertion
Mohammad Hossein Mandegar1, Mohammad Ali Yousefnia, Hossein Rayatzadeh
1Day General Hospital, Tehran, Iran.
Interactive Cardiovascular and Thoracic Surgery
|August 3, 2007
Summary
A sewing needle was successfully removed from a woman's heart one year after it entered her body. This case highlights the possibility of long-term survival with foreign objects in cardiac tissue.
Area of Science:
- Cardiology
- Medical Case Reports
- Surgical Innovation
Background:
- Foreign body ingestion or penetration into the heart is a rare but potentially fatal event.
- Delayed diagnosis and management of intracardiac foreign bodies can lead to severe complications.
Purpose of the Study:
- To report a unique case of a sewing needle retained in the heart for one year.
- To describe the successful surgical intervention for removal of a long-standing intracardiac foreign body.
Main Methods:
- A 36-year-old female presented with symptoms attributed to a retained sewing needle.
- Diagnostic imaging (echocardiography, CT scan) was used to locate the foreign body.
- Surgical exploration and removal of the sewing needle from the cardiac tissue were performed.
Main Results:
- A sewing needle was successfully located and completely removed from the heart.
- The patient experienced a favorable outcome post-surgery with no immediate complications.
- Histopathological examination confirmed the presence of foreign body material within cardiac tissue.
Conclusions:
- Surgical removal of long-retained intracardiac foreign bodies is feasible.
- Prompt diagnosis and intervention are crucial for optimal patient outcomes.
- This case underscores the importance of considering unusual etiologies in patients with cardiac symptoms.

