title: An unusual presentation of chest pain: needle perforation of the right ventricle.
abstract: Foreign bodies in the heart are a rare occurrence and can result from intravenous drug abuse, trauma or iatrogenic causes. There are no current guidelines for the treatment of a cardiac foreign body. We hereby present a brief review of the available literature and report a case of a woman with chest pain subsequently complicated by cardiogenic shock due to tamponade secondary to a needle fragment perforating her right ventricular free wall.
authors.affiliation: Division of Cardiology, VCU Pauley Heart Center, USA. Kristin.Thanavaro@gmail.com
authors.forename: Kristin L
authors.initials: KL
authors.lastname: Thanavaro
authors.forename: Sadia
authors.initials: S
authors.lastname: Shafi
authors.forename: Charlotte
authors.initials: C
authors.lastname: Roberts
authors.forename: Michael
authors.initials: M
authors.lastname: Cowley
authors.forename: James
authors.initials: J
authors.lastname: Arrowood
authors.forename: Anthony
authors.initials: A
authors.lastname: Cassano
authors.forename: Antonio
authors.initials: A
authors.lastname: Abbate
mesh_terms: D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D004452:Echocardiography; D005260:Female; D005547:Foreign Bodies / Q000150:complications* / Q000175:diagnosis; D006335:Heart Injuries / Q000150:complications* / Q000175:diagnosis; D006352:Heart Ventricles / Q000293:injuries*; D006801:Humans; D008875:Middle Aged; D016602:Needlestick Injuries / Q000150:complications* / Q000175:diagnosis; D013902:Radiography, Thoracic