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01.03.2016 | case report | Ausgabe 5-6/2016

Wiener klinische Wochenschrift 5-6/2016

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

Zeitschrift:
Wiener klinische Wochenschrift > Ausgabe 5-6/2016
Autoren:
Barbara Anna Danek, MD, PhD Petr Kuchynka, MD, PhD Tomas Palecek, MD Vladimir Cerny, MD, PhD Karel Hlavacek, MD, PhD Lukas Lambert, MD Eduard Nemecek, MD Jana Podzimkova, MD, PhD Ales Linhart

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.

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