Delayed presentation of right and left ventricle perforation due to suicidal nail gun injury.
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Date
2009-07
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Abstract
We describe a case of delayed presentation of attempted suicide with a nail gun that penetrated both the right and left ventricle. Nearly invisible entry point of the nail did not reflect the gravity of the injury. A prompt and accurate history along with chest X-ray and bedside transthoracic echocardiography facilitated localization of the nails and helped assess the damage. Despite cardiac arrest after induction of general anesthesia, the patient had a successful outcome. Issues related to the injury site, modalities of investigation and management strategies in a patient with cardiac tamponade are discussed.
Description
Keywords
Cardiopulmonary bypass, echocardiography, injury
Citation
Tuladhar Sampurna, Eltayeb Abdalla, Lakshmanan Suresh, Yiu Patrick. Delayed presentation of right and left ventricle perforation due to suicidal nail gun injury. Annals of Cardiac Anaesthesia. 2009 Jul; 12(2): 136-139.