[Surgical treatment for pulmonary arterial injury caused by sewing needles].
A 41-year-old woman was found lying in her home, which was on fire, and was brought to our hospital by ambulance. Her complaint was severe dyspnea, and a respirator was needed. Contusion and abrasion were present on her anterior chest. A roentgenogram of her chest disclosed cardiac enlargement and two linear metallic shadows. A computed tomographic scan of the chest showed cardiac tamponade and a needle from the chest wall to the main pulmonary artery. Through a median sternotomy approach, the pericardium was opened. About 200 ml of blood was pooled in the pericardium cavity, and a needle was found in the main pulmonary artery. The needle was removed and the bleeding point was closed using suturing with 5-0 prolene without cardiopulmonary bypass.
Tsukioka
T
T
Department of Cardiovascular Surgery, Fukui Prefectural Hospital, Fukui, Japan.
Yamamoto
S
S
Ishida
Y
Y
Yasuda
T
T
D000328:Adult; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology; D005260:Female; D005547:Foreign Bodies / Q000601:surgery*; D006801:Humans; D009339:Needles / Q000009:adverse effects*; D011651:Pulmonary Artery / Q000293:injuries* / Q000601:surgery