title: Trans-sternal cardiac injury caused by a hooked needle.
abstract: Cardiac injuries remain the most challenging of all injuries seen in the field of trauma surgery. Penetrating injury to the heart generally occurs less frequently than blunt injury and most commonly injures the large anterior right ventricle. We present an unusual, and to our knowledge a previously unreported, cause of cardiac penetrating trauma in a child, involving a hooked needle (a 15 cm long, metallic device usually used for crocheting or lacemaking). A ventricular septal defect was managed conservatively shortly after the primary cardiorrhaphy. Evaluation methods for this rare presentation and its possible surgical treatments are discussed.
authors.affiliation: Department of General Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey. htyanar@yahoo.com
authors.forename: H
authors.initials: H
authors.lastname: Yanar
authors.forename: M
authors.initials: M
authors.lastname: Aksoy
authors.forename: K
authors.initials: K
authors.lastname: Taviloglu
authors.forename: E S
authors.initials: ES
authors.lastname: Unal
authors.forename: M
authors.initials: M
authors.lastname: Kurtoglu
authors.forename: K
authors.initials: K
authors.lastname: Nisli
mesh_terms: D002675:Child, Preschool; D005260:Female; D005547:Foreign Bodies / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006352:Heart Ventricles / Q000293:injuries; D006801:Humans; D009339:Needles; D011859:Radiography; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*