title: Sequelae of injury to the heart caused by multiple needles.
abstract: A case is reported in which multiple needles were inserted into the heart by a patient, resulting in the unusual combination of a coronary artery-cameral fistula to the left ventricle, an intramural defect of the left ventricular free wall and a ventricular septal defect. This unique lesion was suspected on the basis of two-dimensional and Doppler echocardiography and contrast computed tomographic imaging. Its presence was confirmed during cardiac catheterization and cineangiography.
mesh_terms: D000328:Adult; D009202:Cardiomyopathies / Q000209:etiology; D005402:Fistula / Q000209:etiology; D005547:Foreign Bodies / Q000150:complications* / Q000175:diagnosis; D006321:Heart; D006335:Heart Injuries / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D014950:Wounds, Penetrating / Q000175:diagnosis / Q000209:etiology*