• Kyobu Geka · May 2014

    Case Reports

    [Penetrating injury of the left ventricle caused by a nail gun; report of a case].

    • Hisao Suda, Takuya Nakayama, Masatoshi Sunada, Yosuke Miyata, and Toshiyuki Yamada.
    • Department of Cardiovascular Surgery, Nagoya East Medical Center, Nagoya, Japan.
    • Kyobu Geka. 2014 May 1;67(5):411-4.

    AbstractPenetrating cardiac injuries are life-threatening emergencies. We present a case of a 24-year-old construction worker who accidentally shot himself with a nail gun. Chest X-ray showed a 6 cm-long nail overlapping the cardiac shadow. A computed tomography (CT) scan revealed the nail penetrating the left ventricle and a large amount of pericardial effusion. Median sternotomy was performed and cardiopulmomary bypass was established. Then, the nail was removed and the left ventricular wound was repaired by 4-0 Prolene mattress sutures buttressed with felt-strips. He had an uncomplicated postoperative course and was discharged 7 days postoperatively.

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