Tuladhar, SampurnaEltayeb, AbdallaLakshmanan, SureshYiu, Patrick2011-11-082011-11-082009-07Tuladhar 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.http://imsear.searo.who.int/handle/123456789/135168We 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.enCardiopulmonary bypassechocardiographyinjuryAnesthesia, GeneralCardiac Surgical ProceduresConstruction MaterialsEchocardiography, TransesophagealElectrocardiographyForeign Bodies --radiographyForeign Bodies --surgeryHeart Arrest --etiologyHeart Arrest --therapyHeart Injuries --diagnosisHeart Injuries --surgeryHeart Ventricles --injuriesHumansHypotension --complicationsIntraoperative Complications --etiologyIntraoperative Complications --therapyMaleMiddle AgedRadiography, ThoracicSuicide, AttemptedArticle