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Wiener klinische Wochenschrift
Erschienen in: Wiener klinische Wochenschrift 5-6/2016

01.03.2016 | case report

Needle fragment embolism into the right ventricle: a rare cause of chest pain case report and literature review

verfasst von: Barbara Anna Danek, Petr Kuchynka, MD, PhD, Tomas Palecek, MD, PhD, Vladimir Cerny, MD, Karel Hlavacek, MD, PhD, Lukas Lambert, MD, PhD, Eduard Nemecek, MD, Jana Podzimkova, MD, Ales Linhart, MD, PhD

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 5-6/2016

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Summary

Chest pain in young adults is usually self-limited and of benign etiology. However, rare causes of chest pain must be considered in patients for whom initial diagnostic tests are negative, particularly if unusual risk factors are identified. The authors present a rare case describing a 27-year-old male intravenous drug user who developed transient chest pain most likely secondary to pericardial irritation caused by a needle fragment that embolized from a peripheral vein to his right ventricle. The current literature on intracardiac needles and similar foreign bodies is discussed, providing insight to the epidemiology, complications, and treatment of such patients.
Vorheriger Artikel All-comer treatment with bioresorbable vascular scaffold
Nächster Artikel Thelazia callipaeda—first human case of thelaziosis in Croatia
Literatur
1.
2.
Gyrtrup HJ, Andreassen KH, Pedersen JH, Mortensen LB. Central embolization of needle fragment following intravenous drug abuse. Br J Addict. 1989;84:103–5.CrossRefPubMed
3.
Dwivedi SK, Gupta LC, Narain VS. Self-inserted needle in heart–localization by cross-sectional echocardiography. Eur Heart J. 1991;12:286–87.PubMed
4.
5.
Kataoka H. Cardiac tamponade caused by penetration of an acupuncture needle into the right ventricle. J Thorac Cardiovasc Surg. 1997;114:674–6.CrossRefPubMed
6.
Gallerani M, Ferrari F, Magenta G, Barboso G, Antonelli AM, Manfredini R. A needle infixed in the heart. Am J Emerg Med. 1998;16:662–3.CrossRefPubMed
7.
Thorne LB, Collins KA. Speedballing with needle embolization: case study and review of the literature. J Forensic Sci. 1998;43:1074–6.CrossRefPubMed
8.
Jamilla FP, Casey LC. Self-inflicted Intramyocardial Injury with a sewing needle: a rare cause of pneumothorax. Chest. 1998;113:531–34.CrossRefPubMed
9.
LeMaire SA, Wall MJ, Mattox KL. Needle embolus causing cardiac puncture and chronic constrictive pericarditis. Ann Thorac Surg. 1998;65:1786–7.CrossRefPubMed
10.
Sarmento-Leite R, Silva GV, Goulart LC, Gottschall CAM, Perin EC. A sewing needle in the right ventricle. Texas Heart Institute J. 2000;27:314–5.
11.
Kim KH, Anh H. Intracardiac foreign body: a sewing needle in right ventricle. Eur J Card Thorac Surg. 2001;19:513.CrossRef
12.
13.
Mihmanli I, Kurugoglu S, Kantarci F, Atakir K, Akman C. Intracardiac needle in a 12-year-old girl with self-injurious behaviour. Pediatr Radiol. 2002;32:209–10.CrossRefPubMed
14.
Sayin AG, Besirli K, Arslan C, Canturk E. A case of intramyocardial sewing needle extracted without stopping the heart. Int J Care Injured. 2002;33:276–7.CrossRef
15.
Actis Dato GM, Arslanian A, Marzio P D, Filosso PL, Ruffini E. Posttraumatic and iatrogenic foreign bodies in the heart: report of fourteen cases and review of the literature. J Thorac Cardiovasc Surg. 2003;126:408–14.CrossRefPubMed
16.
Djokic V, Atanasijevic T, Slobodan S, Slobodan N. Cardiac tamponade caused by migration of a swallowed sewing needle. Forensic Sci Int. 2004;139:237–9.CrossRef
17.
Inoue T, Iemura J, Saga T. Delayed cardiac tamponade caused by self-inserted needles. Can J Cardiol. 2003;19:306–8.PubMed
18.
Baker CJ, Nigro JJ, Daggett CW, Wells WJ. Needle embolism to the heart. Ann Thorac Surg. 2004;77:1102.CrossRefPubMed
19.
Borracci RA, Milani AP, Guerrero RAA. Intracardiac sewing needle in a woman with auto-aggressive behavior. Rev Esp Cardiol. 2005;58:456–8.CrossRefPubMed
20.
Nishida S, Tomita S, Watanabe G, Yasuda T, Iino K, Arai S. Intramyocardial foreign body: sewing needle with the uncommon clinical feature of constrictive pericarditis. Jpn J Thorac Cardiovasc Surg. 2005;53:598–600.CrossRefPubMed
21.
Murakami M, Okada H, Nishida M, Hamano K. A sewing needle completely buried in the myocardium removed under extracorporeal circulation. Thorac Cardiovasc Surg. 2006;12:216–8.
22.
Talwar S, Subramaniam KG, Subramanian A, Kothari SS, Kumar AS. Sewing needle in the heart. Asian Cardiovasc Thorac Ann. 2006;14:63–5.CrossRefPubMed
23.
Mandegar HM, Yousefnia MA, Rayatzadeh H, Roshanali. Intramyocardial sewing needle extracted one year after insertion. Interactive Cardiovasc Thorac Surg. 2006;5:742–3.CrossRef
24.
25.
Pontone G, Andreini D, Pepi M. An unusual case of punctiform chest pain. Eur Heart. 2007;28:2187.CrossRef
26.
Sola JE, Cateriano JH, Thompson WR, Neville HL. Pediatric penetrating cardiac injury from abuse: a case report. Pediatr Surg Int. 2008;24:495–7.CrossRefPubMed
27.
Gungor H, Duygu H, Yildiz BS, Gul I, Zoghi M, Ozerkan F. A remnant sewing needle in the right ventricle as a cause of chest pain. Clin Cardiol. 2010;33:E23–5.CrossRefPubMed
28.
Harrer J, Holubec T, Brtko M. A foreign body in the heart due to an unusual injury. Ann Thorac Surg. 2009;88:985–7.CrossRefPubMed
29.
Sersar SI. A self-introduced sharp metallic foreign body migrating transcutaneously to the interventricular septum, mistaken as an inhaled pin. J Thorac Cardiovasc Surg. 2010;141:603–4.CrossRef
30.
Neely D, Jeganathan R, Campalani G. Acupuncture needle from the abdominal cavity to the heart. J Card Surg. 2010;25:654–6.CrossRefPubMed
31.
Vazquez ME, Tapia C, Revilla A, San Roman JA. It hurts so bad like a needle through the heart. Eur Heart J. 2010;31:1763.CrossRefPubMed
32.
Datta G, Sarkar A, Mukherjee D. A foreign body in the heart. Arch Cardiovasc Disease. 2011;104:684–5.CrossRef
33.
Sobnach S, Castillo F, Vinent RB, Kahn D, Bhyat A. Penetrating cardiac injury following sewing needle ingestion. Heart, Lung and Circ. 2011;20:479–81.CrossRef
34.
Davlouros P, Vagenakis G, Kalogeropoulou C, Dougenis D, Alexopoulos D. An unexpected cause of acute ST-elevation: an unconsciously swallowed sewing needle migrating to the heart. Int J Cardiol. 2012;158:E9–E10.CrossRefPubMed
35.
Park BP, Jeong DS, Lee YH, Jeong JH. Swallowed needle resulting in right ventricular foreign body. J Card Surg. 2012;27:716–7.CrossRefPubMed
36.
Steiner J, Dhingra R, DeVries JT. Needle in the haystack: purulent pericarditis from injection drug use. Catheter Cardiovasc Interv. 2012;80:493–6.CrossRefPubMed
37.
Moon MH, Jo KH, Song H, Kim HW. Self-inflicted intracardiac sewing needle. Eur J Card Thorac Surg. 2013;43:439–40.CrossRef
38.
Thanavaro K, Shafi S, Roberts C, Cowley M, Arrowood J, Cassano A, Abbate A. An unusual presentation of chest pain: needle perforation of the right ventricle. Heart Lung. 2013;42:218–20.CrossRefPubMed
39.
Elkhayat H, Nabil A, Amr I, Elminshawy A. Sewing needle penetration into the heart in an infant. Turk J Thorac Cardiovasc Surg. 2013;21:836–8.CrossRef
40.
Santavy P, Troubil M, Lonsky V. Metal splinter ejected by circular saw into the left ventricle. Interact Cardiovasc Thorac Surg. 2014;19:881–2.CrossRefPubMed
41.
Norfolk GA, Gray SF. Intravenous drug users and broken needles—a hidden risk? Addiction. 2003;98:1163–6.CrossRefPubMed
42.
Perrotta S, Perrotta A, Lentini S. In patients with cardiac injuries caused by sewing needles is the surgical approach the recommended treatment? Interact Cardiovasc Thorac Surg. 2010;10:783–92.CrossRefPubMed
Metadaten
Titel
Needle fragment embolism into the right ventricle: a rare cause of chest pain case report and literature review
verfasst von
Barbara Anna Danek
Petr Kuchynka, MD, PhD
Tomas Palecek, MD, PhD
Vladimir Cerny, MD
Karel Hlavacek, MD, PhD
Lukas Lambert, MD, PhD
Eduard Nemecek, MD
Jana Podzimkova, MD
Ales Linhart, MD, PhD
Publikationsdatum
01.03.2016
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 5-6/2016
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-015-0811-x

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