Self-inflicted Cardiac Injury with Nail Gun Without Hemodynamic Compromise: A Case Report
Autor: | Bo Liu, Simon Ho, Nicholas Feranec |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
cardiothoracic surgery medicine.medical_treatment Cardiology Asymptomatic 03 medical and health sciences 0302 clinical medicine Cardiac tamponade medicine.artery penetrating chest injury medicine 030212 general & internal medicine Thoracotomy nail gun integumentary system business.industry Abdominal aorta General Engineering computed tomography medicine.disease Surgery medicine.anatomical_structure trauma Ventricle Cardiothoracic surgery Cardiac/Thoracic/Vascular Surgery Nail (anatomy) Nail gun medicine.symptom business Radiology 030217 neurology & neurosurgery |
Zdroj: | Cureus |
ISSN: | 2168-8184 |
Popis: | Pneumatically powered nail guns have been used in construction since 1959. Penetrating injuries to the heart with nail guns have a wide range of presentations from asymptomatic to cardiac tamponade and exsanguination. Mortality related to cardiac nail gun injuries is similar to knife injuries, estimated at 25%. Surgical exploration is the treatment of choice. We describe a case of self-inflicted nail gun injury to the chest without hemodynamic compromise in a 51-year-old man. Computed tomography (CT) imaging confirmed nail penetrating the right ventricle, with the tip adjacent to but not violating the abdominal aorta. The patient was successfully treated with thoracotomy and foreign body removal. |
Databáze: | OpenAIRE |
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