Abstract
: Penetrating injuries of the heart caused by migrating needles have been rarely described. They usually occur accidentally or are self-inflicted in the setting of an underlying psychiatric disorder. We present an unusual case of cardiac tamponade caused by a sewing needle that migrated to the heart from the chest wall through the lung. The lesions were successfully repaired through a median sternotomy without cardiopulmonary bypass. The pathophysiological mechanism and the pertinent literature are briefly analysed.
MeSH terms
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Accidents, Occupational*
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Adult
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Cardiac Tamponade / diagnostic imaging
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Cardiac Tamponade / etiology*
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Cardiac Tamponade / surgery
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Foreign-Body Migration / diagnostic imaging
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Foreign-Body Migration / etiology*
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Foreign-Body Migration / surgery
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Heart Injuries / diagnostic imaging
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Heart Injuries / etiology*
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Heart Injuries / surgery
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Heart Ventricles / diagnostic imaging
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Heart Ventricles / injuries*
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Heart Ventricles / surgery
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Humans
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Male
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Needles*
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Pericardial Effusion / etiology
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Sternotomy
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Tomography, X-Ray Computed
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Treatment Outcome