Retained Nail in the Heart

Agarwal, Ajay; Quraishi, Muhammad Bilal; Mufti, Omar

doi:10.1016/j.jacc.2011.11.075

Cited by 4 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The smooth-edged intracardiac foreign body can be treated non-operatively. Sometimes the retained shaped-edged foreign body can remain asymptomatic for a long time, and suggest complete fixation of the metallic foreign body to the cavity wall and further retrieval may not be needed [10], [11]. However, when an intravascular foreign body is identified, endovascular retrieval should be attempted due to its high success rate and minimal morbidity [1].…”

Section: Discussionmentioning

confidence: 99%

Retrieval of Intravascular Fractured Fragment of Tunnelled Double Lumen Catheter in Hemodialysis Patient

Semadi¹,

Koerniawan²,

Irawan³

2019

Open Access Maced J Med Sci

View full text Add to dashboard Cite

BACKGROUND:Intravascular fractured fragment of double lumen catheter with embolisation is a serious and rare complication. Another serious complication includes infection, thrombosis, arrhythmias, and pulmonary embolism. We report a successful surgical venous cut-down technique in the retrieval of an intravascular fractured fragment of tunnelled double lumen catheter in a hemodialysis patient.CASE REPORT:A 51-year-old female underwent hemodialysis through a tunnelled double lumen catheter and had her arterio-venous graft matured. During retrieval of tunnelled double lumen catheter procedure, the distal part of the catheter was fractured and slipped into the internal jugular vein. Chest radiograph revealed intravascular double lumen catheter extending from the distal part of the right internal jugular vein to right atrium. The procedure of foreign body retrieval was done the next day under general anaesthesia and C-Arm guidance using right internal jugular venous cut-down approach. A right-angle clamp was used to retrieve the fragment without any post-procedure complications.CONCLUSION:Intravascular fractured fragment of double lumen catheter is a dangerous situation as are all the intravascular foreign bodies. The choices of the technique for retrieval of the fractured fragment are varied. It depends on the type and site of a fractured fragment as well as the surgeon experiences.

show abstract

Section: Discussionmentioning

confidence: 99%

Retrieval of Intravascular Fractured Fragment of Tunnelled Double Lumen Catheter in Hemodialysis Patient

Semadi¹,

Koerniawan²,

Irawan³

2019

Open Access Maced J Med Sci

View full text Add to dashboard Cite

show abstract

“…1 Since then, only 3 American cases involving the IVS have been published. [2][3][4] In 1964, Zverev 8 reported (in Russian) one case of nail-gun injury to the heart of a child.…”

Section: Discussionmentioning

confidence: 99%

“…To the best of our knowledge, there have been only 5 reported cases of penetration of the cardiac interventricular septum (IVS), and none of those has involved a child. [1][2][3][4][5] We describe 2 additional cases of nail-gun injuries through the IVS. One case involved an accidental self-inflicted wounding of a child, who needed removal of the nail during cardiopulmonary bypass (CPB).…”

mentioning

confidence: 99%

Low-Velocity Nail-Gun Injuries to the Interventricular Septum: Report of Two Cases, One in a Child

Michalsen¹,

Iguidbashian²,

Kyser³

et al. 2015

Texas Heart Institute Journal

View full text Add to dashboard Cite

Nail-gun injury to the heart is rare. Nail-gun N ail-gun injury to the heart is rare. Nail guns usually cause injuries to the extremities. To the best of our knowledge, there have been only 5 reported cases of penetration of the cardiac interventricular septum (IVS), and none of those has involved a child. 1-5We describe 2 additional cases of nail-gun injuries through the IVS. One case involved an accidental self-inflicted wounding of a child, who needed removal of the nail during cardiopulmonary bypass (CPB). In the adult, we used adenosine to slow the heart rate in order to extract 3 nails before performing a median sternotomy to suture entrance wounds in the right ventricle (RV). All nails were removed under transesophageal echocardiographic (TEE) guidance. Case Reports Patient 1In March 2012, a 3-year-old Russian immigrant picked up a pneumatic nail gun and accidentally shot himself in the chest. He walked over to his mother and reported that his chest hurt. His mother noticed a small puncture wound in the left parasternal area and took him in the family car to a local emergency department.Vital signs on arrival were a systolic blood pressure of 128 mmHg, a heart rate of 128 beats/min, a respiratory rate of 20 breaths/min, and pulse oximetry of 98% on room air. Physical examination produced normal results except for a small left parasternal puncture wound in the 5th intercostal space. A portable chest radiograph revealed a nail 3.81 cm in length, penetrating the left chest and possibly entering the left atrium (Fig. 1). The patient was transferred to our trauma center.Upon arrival, the boy was taken directly to the operating room. The patient showed no clinical signs of pericardial tamponade. Under general anesthesia, he underwent an intraoperative TEE, which showed the nail traversing the mid RV, crossing the ventricular septum, and entering the left ventricular (LV) chamber. The tip of the nail lay adjacent to the LV free wall and limited the movement of the mitral valve cord apparatus, causing mild mitral regurgitation. There was a suggestion of a patent foramen ovale.Through a median sternotomy, we performed a pericardiotomy and removed a small amount of dark blood. The head of the nail was not visible. Using two 6-0 Prolene traction sutures, we probed the epicardial entry wound; the nail was too Case Reports

show abstract

An unusual presentation of chest pain: Needle perforation of the right ventricle

et al. 2013

View full text Add to dashboard Cite

Retained Nail in the Heart

Cited by 4 publications

References 0 publications

Retrieval of Intravascular Fractured Fragment of Tunnelled Double Lumen Catheter in Hemodialysis Patient

Retrieval of Intravascular Fractured Fragment of Tunnelled Double Lumen Catheter in Hemodialysis Patient

Low-Velocity Nail-Gun Injuries to the Interventricular Septum: Report of Two Cases, One in a Child

An unusual presentation of chest pain: Needle perforation of the right ventricle

Contact Info

Product

Resources

About