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Case Reports
Delayed presentation of right and left ventricle perforation due to suicidal nail gun injury.
- Sampurna Tuladhar, Abdalla Eltayeb, Suresh Lakshmanan, and Patrick Yiu.
- Department of Cardiothoracic Surgery and Cardiology, Cardiothoracic Surgery Unit, New Cross Hospital, Wolverhampton, UK.
- Ann Card Anaesth. 2009 Jul 1;12(2):136-9.
AbstractWe 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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