Role of chest CT scan in atypical cardiac trauma management: Left ventricle injury by a nail gun

Penetrating cardiac trauma caused by a nail-gun: A case report and narrative review

“…We opted to repair the defects with Bioglue®, reinforced with a bovine pericardial patch. Cases of transmural injuries were repaired with a prolene® or polypropylene pledgeted sutures [1] , [6] , [7] , [10] , [12] , [13] , [14] , [16] , [17] , [18] . Haemostasis with the use of fibrin sealants and pericardial patches have also been reported in literature [4] , [9] .…”

“…We opted against suture repair due to the bleeding caused by multiple suture holes. Cardiopulmonary bypass may be necessary to repair these injuries and should be initiated immediately if there are anatomical and physiological concerns [6] . Cardiopulmonary bypass may also be unsafe in certain situations due to heparinisation, and this should be considered in the context of the patients' other injuries [7] .…”

“…He was discharged to a mental health facility on postoperative day 7. A narrative review of case reports pertaining to nail-gun related cardiac injury was performed [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] ( Supplementary Table 1 ). Medical illustrations and case reports of paediatric patients (under 16) were excluded.…”