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Penetrating Injury of the Heart From a Chronically Migrating Foreign Body
Jawaher Al-Jalahma1, Wejdan Al-Hakami1, Yazan Musayab1
1Cardiology Division, Internal Medicine Department, Salmaniya Medical Complex, Ministry of Health, Manama, Bahrain.
The Annals of Thoracic Surgery
|August 24, 2016
Abstract:
A 46-year-old man experienced a remote unexpected lung injury with a sharp object. The object migrated over the years, penetrating the mediastinal structure, injuring the pericardium and the right-sided chambers of the heart. The injury was complicated by hemodynamic instability and pericardial tamponade. An emergent pericardiocentesis followed by thoracotomy, foreign body extraction, and puncture site closure. This is a very rare case of remote penetrating lung injury with a dormant course.