Document Detail


Nail gun penetrating injury of the heart mimicking an acute coronary syndrome.
MedLine Citation:
PMID:  20606824     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
We describe the case of a 75-year-old man admitted to hospital for chest pain and syncope. Physical examination was normal with evidence of a very small wound on the left chest. Considering the presence of multiple coronary risk factors, an acute coronary syndrome was initially suspected, but the electrocardiogram (EKG) was normal and only a slight increase of cardiac enzymes was detected. The hypothesis of aortic dissection was also considered and in order to discriminate between the aortic and coronary syndrome, a thoracic and coronary computed tomography (CT) scan was performed. The CT scan showed a metallic structure, suggestive of a nail, about 6 cm in length, in the deep layers of the left ventricular wall and a small pneumothorax due to a lung lesion. The patient was therefore transferred to our department for urgent cardiac surgery that was performed without complications.
Authors:
Chiara Comoglio; Fabrizio Sansone; Massimo Boffini; Marco Ribezzo; Mauro Rinaldi
Related Documents :
1827054 - Noninvasive identification of myocardium at risk in patients with acute myocardial infa...
6876214 - Cardiac contusion: a new diagnostic approach utilizing two-dimensional echocardiography.
4240624 - Chest x-ray film in acute myocardial infarction.
19088394 - Unusual case of left ventricular pseudoaneurysm.
18724014 - Clinical outcomes and therapeutic strategy in patients with acute myocardial infarction...
15638784 - Modulation of cardiovascular remodeling with statins: fact or fiction?
Publication Detail:
Type:  Journal Article     Date:  2010-02-05
Journal Detail:
Title:  International journal of emergency medicine     Volume:  3     ISSN:  1865-1380     ISO Abbreviation:  Int J Emerg Med     Publication Date:  2010  
Date Detail:
Created Date:  2010-07-07     Completed Date:  2011-07-14     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101469435     Medline TA:  Int J Emerg Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  135-7     Citation Subset:  -    
Affiliation:
Division of Cardiac Surgery, University of Turin, San Giovanni Battista Hospital, C.so Bramante 88, 10127 Turin, Italy.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Treat the patient by the recognized toxidrome when the ingested herbal juice is non-toxic.
Next Document:  Foreign body in the abdomen.