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Delayed presentation of right and left ventricle perforation due to suicidal nail gun injury


1 Department of Cardiothoracic Surgery and Cardiology, Cardiothoracic Surgery Unit, New Cross Hospital, Wolverhampton, United Kingdom
2 Cardiology Unit, New Cross Hospital, Wolverhampton, United Kingdom

Correspondence Address:
Patrick Yiu
Cardiothoracic Unit, Heart and Lung Centre, New Cross Hospital, Wolverhampton WV10 0QP
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.53448

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Year : 2009  |  Volume : 12  |  Issue : 2  |  Page : 136-139

 

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We describe a case of delayed presentation of attempted suicide with a nail gun that penetrated both the right and left ventricle. Nearly invisible entry point of the nail did not reflect the gravity of the injury. A prompt and accurate history along with chest X-ray and bedside transthoracic echocardiography facilitated localization of the nails and helped assess the damage. Despite cardiac arrest after induction of general anesthesia, the patient had a successful outcome. Issues related to the injury site, modalities of investigation and management strategies in a patient with cardiac tamponade are discussed.






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1 Department of Cardiothoracic Surgery and Cardiology, Cardiothoracic Surgery Unit, New Cross Hospital, Wolverhampton, United Kingdom
2 Cardiology Unit, New Cross Hospital, Wolverhampton, United Kingdom

Correspondence Address:
Patrick Yiu
Cardiothoracic Unit, Heart and Lung Centre, New Cross Hospital, Wolverhampton WV10 0QP
United Kingdom
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.53448

Rights and Permissions

We describe a case of delayed presentation of attempted suicide with a nail gun that penetrated both the right and left ventricle. Nearly invisible entry point of the nail did not reflect the gravity of the injury. A prompt and accurate history along with chest X-ray and bedside transthoracic echocardiography facilitated localization of the nails and helped assess the damage. Despite cardiac arrest after induction of general anesthesia, the patient had a successful outcome. Issues related to the injury site, modalities of investigation and management strategies in a patient with cardiac tamponade are discussed.






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