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Case report
jiaqi zhao
Changzheng Hospital
Corresponding Author
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Backgroud: Cardiac penetrating injuries caused by migrating foreign bodies are rare. The perioperative locating of these foreign bodies is challenging since their location may change with the continuous beat of the heart.
Case presentation: We reported an interesting case of cardiac penetrating injury caused by a self-inflicted needle that migrated from the neck to the heart. The needle was dynamically monitored by both transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE) perioperatively, which showed a significant location change of the needle in the ventricular wall. In a few hours, the needle had moved into the right ventricle with a distance of 2.0cm. An emergency surgery was immediately carried out and the needle was successfully removed without open heart surgery and cardiopulmonary bypass (CPB). If there had been any delay, it would be possible that the needle might enter the right ventricle and was not visible on the surface of the visceral pericardium. The dynamic monitoring of the needle’s location using echocardiography helped clinical decisions and benefited the patient.
Conclusions: Foreign bodies with sharp nature have a tendency to migrate though tissues and lead to serious complications. A real-time, continuous and accurate monitoring of cardiac foreign bodies is urgently needed. Echocardiography with a combination of both TTE and TEE help determination of optimal surgical method without radiation hazards, which is worth popularizing in clinical practice.
Keywords
foreign body, echocardiography, monitor, cardiac, pericardial effusion
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A new preprint design is coming!
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This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Case report
jiaqi zhao
Changzheng Hospital
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 29 Jan, 2020
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Cardiac & Cardiovascular Systems
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Backgroud: Cardiac penetrating injuries caused by migrating foreign bodies are rare. The perioperative locating of these foreign bodies is challenging since their location may change with the continuous beat of the heart.
Case presentation: We reported an interesting case of cardiac penetrating injury caused by a self-inflicted needle that migrated from the neck to the heart. The needle was dynamically monitored by both transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE) perioperatively, which showed a significant location change of the needle in the ventricular wall. In a few hours, the needle had moved into the right ventricle with a distance of 2.0cm. An emergency surgery was immediately carried out and the needle was successfully removed without open heart surgery and cardiopulmonary bypass (CPB). If there had been any delay, it would be possible that the needle might enter the right ventricle and was not visible on the surface of the visceral pericardium. The dynamic monitoring of the needle’s location using echocardiography helped clinical decisions and benefited the patient.
Conclusions: Foreign bodies with sharp nature have a tendency to migrate though tissues and lead to serious complications. A real-time, continuous and accurate monitoring of cardiac foreign bodies is urgently needed. Echocardiography with a combination of both TTE and TEE help determination of optimal surgical method without radiation hazards, which is worth popularizing in clinical practice.
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
Figure 6
Figure 7
Figure 8
Figure 9
Loading...