title: A sewing needle completely buried in the myocardium removed under extracorporeal circulation.
abstract: A 14-year-old boy had a needle accidentally inserted through his chest wall. Chest X-ray showed a needle-shaped metallic density localized in the cardiac silhouette. An echocardiography indicated the needle had passed through the interventricular septum, and its eye and point had reached the right and left ventricle, respectively. Surgical removal of the needle was performed. The needle could not be observed from the heart surface, and was recognized in a dent 5 mm on the right side from the left anterior descending branch (LAD). The needle was easily removed under extracorporeal circulation, and he was discharged ten days after the operation.
authors.affiliation: Division of Cardiovascular Surgery, Shakaihoken Tokuyama Central Hospital, Shunan, Yamaguchi, Japan.
authors.forename: Masanori
authors.initials: M
authors.lastname: Murakami
authors.forename: Haruhiko
authors.initials: H
authors.lastname: Okada
authors.forename: Masahiko
authors.initials: M
authors.lastname: Nishida
authors.forename: Kimikazu
authors.initials: K
authors.lastname: Hamano
mesh_terms: D000293:Adolescent; D005112:Extracorporeal Circulation; D005547:Foreign Bodies; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D009206:Myocardium; D009339:Needles; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography