Self-Inserted Needles in the Heart

Paolo, Marco Di; Guidi, Benedetta; Vergaro, Giuseppe; Emdin, Michele

doi:10.1016/j.amjcard.2015.07.052

Cited by 6 publications

(9 citation statements)

References 9 publications

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“…What remains uncertain in our case is how the FB was introduced into the patient’s heart. There is literature that has associated similar scenarios with psychiatric illness [10]; however, our patient had no indication of a psychiatric condition.…”

Section: Discussionmentioning

confidence: 75%

An Unusual Presentation of a Cardiac Foreign Body in a Pediatric Patient

Al-Musawi

Rubay

Ohanisian

et al. 2019

Cureus

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Cardiac foreign bodies (FBs) are rare. Their etiology can be attributed to penetrating injuries although they are also often found incidentally. The approach for removal of these FBs is variable and patient dependent. Although there is debate regarding indications for removal, there is a general consensus that symptomatic FBs presenting acutely, as well as asymptomatic FBs posing a greater risk of complication to the patient, should be removed. We present the case of a 14-year-old patient with a cardiac FB and a step-wise approach for removal.

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Section: Discussionmentioning

confidence: 75%

An Unusual Presentation of a Cardiac Foreign Body in a Pediatric Patient

Al-Musawi

Rubay

Ohanisian

et al. 2019

Cureus

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“…Previous case reports described surgical removal of penetrating FB in the heart, including bullets, acupuncture needles, venous catheter, and the sewing needle [Actis 2003;Di Paolo 2015;Irdem 2015;Supomo 2018]. Reviewing the relevant literature, we found no reports about cardiac embolism caused by a metallic structural nail that migrated from a peripheral vein and entered the patient's heart after an accidental neck injury caused by the use of a high-speed nail gun.…”

Section: Discussionmentioning

confidence: 81%

“…Accidental penetration of metallic FB in the heart is rare and has the potential to cause serious complications, including infective endocarditis, thrombosis, pulmonary embolism, and death [Cianciulli 2017;Di Paolo 2015;Liang 2014]. The exact location of the FB not only determines the complications encountered but also helps to ensure complete removal.…”

Section: Introductionmentioning

confidence: 99%

Removal of Unusual Foreign Metal Object (Nail) from the Right Ventricle of Human Heart: A Case Report

Zuo

Chen

Xiang

et al. 2021

HSF

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Migration of foreign bodies (FB) with the blood flow to the heart is a rare, but very alarming condition as it may lead to life-threatening complications and death. Objects that are larger than 5 mm in diameter and/or irregular in shape are recommended for removal from extra- and intracardiac areas to prevent incurable embolization. Surgical extraction of intracardiac objects is a serious surgical challenge associated with difficulties to operate, during the continuous movement of the heart, and identify the exact FB location. Early diagnosis and timely removal of FBs are crucial treatment factors for this rare case resolution. We report a case of accidental migration of a metal FB object (nail) about 1.0*0.3 cm from the right neck area jugular vein to the right ventricle apex in the heart. The FB localization was accurately detected using Bi-plane transesophageal echocardiography (TEE) with a special comet-tail artifact. TEE provided valuable information before surgery, and the nail was successfully removed through open-heart surgical procedures and cardiopulmonary bypass (CPB). Postoperative tests indicated no complications.

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“…Needles have been identified as foreign bodies in the distal regions of the extremities as well as in the heart, [1] lung, [2] and liver. [3] Cervical foreign bodies have been previously reported, but the report of a foreign body in the cervical spine is rare.…”

Section: Introductionmentioning

confidence: 99%

A sewing needle in contact with the cervical dura mater and vertebral artery

et al. 2016

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Rationale:Although cervical foreign bodies have been previously reported, the report of a needle in the cervical spinal cord is rare. Herein, we report a rare case of a sewing needle in contact with the cervical dura mater and vertebral artery.Patients concerns:A 47-year-old man presented with discomfort in the posterior region of his neck. Approximately 2 years before admission, he suffered a stiff neck and had stabbed the posterior region of his neck with a sewing needle. The sewing needle had deeply entered his neck, and he left it alone because it could not be identified or removed. On examination, the patient had a full range of neck motion, but was experiencing discomfort. Cervical spine radiographs revealed a metal foreign body oriented from between the C2 and C3 spinous processes to the anterior cervical spine.Diagnosis:Computed tomography (CT) myelogram and CT angiogram revealed that the sewing needle was penetrating into the foramen transversarium and was in contact with the cervical dura mater and the right vertebral artery.Interventions:The sewing needle was removed under general anesthesia.Outcomes:Cerebrospinal fluid leakage occurred immediately after removal of the needle. Symptoms of discomfort disappeared without any complications.Lessons:This is the first report of a sewing needle that entered the cervical spinal canal while avoiding the cervical spine and the vertebral artery. Although no symptoms occurred for nearly 2 years, surgical removal of a foreign body near the cervical spinal cord and vertebral artery should be performed as soon as possible, before the occurrence of symptoms.

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Self-Inserted Needles in the Heart

Cited by 6 publications

References 9 publications

An Unusual Presentation of a Cardiac Foreign Body in a Pediatric Patient

An Unusual Presentation of a Cardiac Foreign Body in a Pediatric Patient

Removal of Unusual Foreign Metal Object (Nail) from the Right Ventricle of Human Heart: A Case Report

A sewing needle in contact with the cervical dura mater and vertebral artery

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