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Needle Embolism to the Heart: A Case Report and Review

Needle embolisms in the heart are quite rare, and their management is largely based on clinical experience. We describe a patient with chest pain and shortness of breath, whose electrocardiogram revealed subtle inferolateral ST segment elevations. The patient was found to have a bloody pericardial e...

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Detalles Bibliográficos
Autores principales: Hatcherson, Scott, Venkata, Vikramaditya S, Aedma, Surya, Nalluri, Nikhil, Sivadasan, Mini L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8115191/
https://www.ncbi.nlm.nih.gov/pubmed/33996328
http://dx.doi.org/10.7759/cureus.14469
Descripción
Sumario:Needle embolisms in the heart are quite rare, and their management is largely based on clinical experience. We describe a patient with chest pain and shortness of breath, whose electrocardiogram revealed subtle inferolateral ST segment elevations. The patient was found to have a bloody pericardial effusion causing tamponade from a long-ago injected needle. Removal of a needle is a complicated decision, that should be done in a multi-disciplinary fashion to minimize complications. Removal may not always be necessary if the needle is in a stable position and not in danger of migration.