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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Autores principales: Hatcherson, Scott, Venkata, Vikramaditya S, Aedma, Surya, Nalluri, Nikhil, Sivadasan, Mini L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Cardiac/Thoracic/Vascular Surgery
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
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author Hatcherson, Scott
Venkata, Vikramaditya S
Aedma, Surya
Nalluri, Nikhil
Sivadasan, Mini L
author_facet Hatcherson, Scott
Venkata, Vikramaditya S
Aedma, Surya
Nalluri, Nikhil
Sivadasan, Mini L
author_sort Hatcherson, Scott
collection PubMed
description 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.
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spelling pubmed-81151912021-05-14 Needle Embolism to the Heart: A Case Report and Review Hatcherson, Scott Venkata, Vikramaditya S Aedma, Surya Nalluri, Nikhil Sivadasan, Mini L Cureus Cardiac/Thoracic/Vascular Surgery 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. Cureus 2021-04-13 /pmc/articles/PMC8115191/ /pubmed/33996328 http://dx.doi.org/10.7759/cureus.14469 Text en Copyright © 2021, Hatcherson et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiac/Thoracic/Vascular Surgery
Hatcherson, Scott
Venkata, Vikramaditya S
Aedma, Surya
Nalluri, Nikhil
Sivadasan, Mini L
Needle Embolism to the Heart: A Case Report and Review
title Needle Embolism to the Heart: A Case Report and Review
title_full Needle Embolism to the Heart: A Case Report and Review
title_fullStr Needle Embolism to the Heart: A Case Report and Review
title_full_unstemmed Needle Embolism to the Heart: A Case Report and Review
title_short Needle Embolism to the Heart: A Case Report and Review
title_sort needle embolism to the heart: a case report and review
topic Cardiac/Thoracic/Vascular Surgery
url 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
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