Document Detail

Nail gun penetrating injury of the heart mimicking an acute coronary syndrome.
MedLine Citation:
PMID:  20606824     Owner:  NLM     Status:  PubMed-not-MEDLINE    
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.
Chiara Comoglio; Fabrizio Sansone; Massimo Boffini; Marco Ribezzo; Mauro Rinaldi
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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:  -    
Division of Cardiac Surgery, University of Turin, San Giovanni Battista Hospital, Bramante 88, 10127 Turin, Italy.
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