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Fabrication of an Expandable Brain Matrix Customizable Across Developmental Stages
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If I had a hammer.

M Tarazi1, N Mayooran1, J Hinchion1

  • 1Cardiothoracic Surgery, Cork University Hospital, Ireland.

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Summary
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A man with a nail-gun chest injury underwent emergency surgery. Magnets aided in locating and removing a metallic foreign body from his lung.

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Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Emergency Medicine

Background:

  • Nail-gun injuries are rare but can cause severe thoracic trauma.
  • Prompt surgical intervention is crucial for managing penetrating chest injuries.

Observation:

  • A 64-year-old male sustained a self-inflicted nail-gun injury with three impaled nails.
  • Computed tomography showed no major vascular damage, but two nails caused pericardial and myocardial injury.

Findings:

  • Emergency sternotomy facilitated the removal of two nails from the pericardium and myocardium.
  • A third nail lodged in the lung hilum was successfully located and removed using a pacemaker magnet.

Implications:

  • This case highlights the utility of magnets in emergency surgical retrieval of metallic foreign bodies.
  • Effective management of complex thoracic trauma requires a multidisciplinary approach and innovative techniques.