title: [Penetrating cardiac and pulmonary injury by a nail-gun: report of a case].
abstract: A 64-year-old man underwent emergency operation for self-inflicted penetrating cardiac and pulmonary injury by a nail-gun. Chest films on admission showed 5 nails penetrating the thorax and one of these nails had reached into pericardium. Emergency surgery was performed by median sternotomy and the 5 nails in the chest wall were totally removed and the wound of right ventricle and lung were closed with direct mattress sutures without cardio-pulmonary bypass. Post operative course was uneventful and he was transferred to the psychiatric ward for the treatment of depression at post operative 7 days.
authors.affiliation: Department of Cardiovascular Surgery, Sunagawa City Medical Center, Sunagawa, Japan.
authors.forename: J
authors.initials: J
authors.lastname: Sakata
authors.forename: A
authors.initials: A
authors.lastname: Sasaki
mesh_terms: D006348:Cardiac Surgical Procedures; D003252:Construction Materials; D004630:Emergencies; D005547:Foreign Bodies / Q000601:surgery*; D006335:Heart Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013510:Pulmonary Surgical Procedures; D012128:Respiratory Distress Syndrome / Q000601:surgery*; D013406:Suicide, Attempted; D016896:Treatment Outcome; D014950:Wounds, Penetrating / Q000601:surgery*