title: An unusual case of cardiac tamponade.
abstract: A case of a 67-year-old woman with cardiac tamponade caused by toothpick ingestion is presented. At clinical presentation, it mimicked postinfarction ventricular free wall rupture and the diagnosis was not made until the operation. Ingested toothpicks have often been reported as a cause of intestinal injuries, but in this rare case the toothpick migrated into the pericardium and caused laceration of the right coronary artery.
authors.affiliation: Department of Cardiac Surgery, Careggi Hospital, Florence, Italy.
authors.forename: Lucio
authors.initials: L
authors.lastname: Braconi
authors.forename: Paola
authors.initials: P
authors.lastname: Pretelli
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Calamai
authors.forename: Gianfranco
authors.initials: G
authors.lastname: Montesi
authors.forename: Stefano
authors.initials: S
authors.lastname: Romagnoli
authors.forename: Sandro
authors.initials: S
authors.lastname: Gelsomino
authors.forename: Sergio
authors.initials: S
authors.lastname: Bevilacqua
authors.forename: Pierluigi
authors.initials: P
authors.lastname: Stefàno
authors.forename: Gian Franco
authors.initials: GF
authors.lastname: Gensini
mesh_terms: D000368:Aged; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology*; D003331:Coronary Vessels / Q000293:injuries*; D004562:Electrocardiography; D005260:Female; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D022125:Lacerations / Q000150:complications / Q000209:etiology*; D014463:Ultrasonography