title: Late presentation of retained intracardiac ice pick with papillary muscle injury.
abstract: An unusual case of a penetrating intracardiac injury is described in a 16-year-old boy who presented with a retained 14-cm segment of an ice pick that went unnoticed by the patient for 4 days. The ice pick had lacerated the anterior papillary muscle of the left ventricle causing avulsion of its tip and prolapse of the anterior leaflet of the mitral valve resulting in severe mitral regurgitation. The urgency for surgical correction of the traumatic mitral valve injury at the time of extraction of the intracardiac foreign body through a single-stage approach versus a two-stage approach is discussed.
authors.affiliation: Division of Cardiothoracic Surgery, The University of Illinois at Chicago, College of Medicine, 60612, USA. mmassad@uic.edu
authors.forename: Malek G
authors.initials: MG
authors.lastname: Massad
authors.forename: Fadi
authors.initials: F
authors.lastname: Khoury
authors.forename: Alexander
authors.initials: A
authors.lastname: Evans
authors.forename: Christian
authors.initials: C
authors.lastname: Sirois
authors.forename: Rabih
authors.initials: R
authors.lastname: Chaer
authors.forename: Yaulaunda
authors.initials: Y
authors.lastname: Thomas
authors.forename: Norman J
authors.initials: NJ
authors.lastname: Snow
authors.forename: Joan
authors.initials: J
authors.lastname: Briller
authors.forename: Alexander S
authors.initials: AS
authors.lastname: Geha
mesh_terms: D000293:Adolescent; D003937:Diagnosis, Differential; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000601:surgery*; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery; D010210:Papillary Muscles / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D011859:Radiography; D013536:Suture Techniques; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000601:surgery*