| Nail gun penetrating injury of the heart mimicking an acute coronary syndrome. | |
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MedLine Citation:
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PMID: 20606824 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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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. |
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Authors:
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Chiara Comoglio; Fabrizio Sansone; Massimo Boffini; Marco Ribezzo; Mauro Rinaldi |
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Publication Detail:
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Type: Journal Article Date: 2010-02-05 |
Journal Detail:
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Title: International journal of emergency medicine Volume: 3 ISSN: 1865-1380 ISO Abbreviation: Int J Emerg Med Publication Date: 2010 |
Date Detail:
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Created Date: 2010-07-07 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101469435 Medline TA: Int J Emerg Med Country: England |
Other Details:
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Languages: eng Pagination: 135-7 Citation Subset: - |
Affiliation:
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Division of Cardiac Surgery, University of Turin, San Giovanni Battista Hospital, C.so Bramante 88, 10127 Turin, Italy. |
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