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A needle infixed in the heart

M Gallerani1, F Ferrari, G Magenta

  • 1Emergency Department, St Anna Hospital, Ferrara, Italy.

The American Journal of Emergency Medicine
|November 25, 1998
PubMed
Summary
This summary is machine-generated.

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A man survived a self-inflicted cardiac needle injury. Advanced imaging located the foreign body, which was surgically removed from the interventricular septum without damaging heart muscle.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Medical Imaging

Background:

  • Self-inflicted penetrating cardiac injuries are rare.
  • Needle ingestion or insertion presents unique diagnostic and management challenges.

Observation:

  • A 34-year-old male presented after self-inserting a needle into the interventricular septum.
  • Diagnostic workup included X-ray, echocardiography, and computed tomography for precise foreign body localization.

Findings:

  • The needle was successfully located within the interventricular septum.
  • Surgical extraction was performed via pericardial incision.
  • Cardiac muscle was preserved, avoiding the need for cardiotomy.

Implications:

Related Experiment Videos

  • This case highlights the utility of multimodal imaging in diagnosing cardiac foreign bodies.
  • Minimally invasive surgical techniques can be effective for cardiac needle extraction.
  • Preservation of cardiac tissue is crucial in managing such penetrating injuries.