Cardiac injury during needle localized surgical breast biopsy.
Needle localized breast biopsy is commonly used to diagnose and remove non-palpable breast lesions. We present the first case of cardiac injury resulting from needle localized breast biopsy. A hooked-end monofilament wire penetrated the pericardium and myocardium overlying the left ventricle. The wire was pulled and the patient managed non-operatively with close monitoring that included plain chest radiographs, electrocardiography, and echocardiography. The literature regarding complications of the procedure was reviewed.
Martinez
Steve R
SR
Department of Surgery, Health Sciences Center, SUNY at Stony Brook, Stony Brook, New York 11794, USA. srmartinez@hotmail.com
Gelfand
Mark
M
Hourani
Hisham S
HS
Sorrento
Joseph J
JJ
Mohan
Eugene P
EP
D000368:Aged; D001707:Biopsy, Needle / Q000379:methods*; D001940:Breast / Q000473:pathology*; D001943:Breast Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D010496:Pericardium / Q000000981:diagnostic imaging / Q000293:injuries*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography