title: [Penetrating injury of the left ventricle caused by a nail gun; report of a case].
abstract: Penetrating cardiac injuries are life-threatening emergencies. We present a case of a 24-year-old construction worker who accidentally shot himself with a nail gun. Chest X-ray showed a 6 cm-long nail overlapping the cardiac shadow. A computed tomography (CT) scan revealed the nail penetrating the left ventricle and a large amount of pericardial effusion. Median sternotomy was performed and cardiopulmomary bypass was established. Then, the nail was removed and the left ventricular wound was repaired by 4-0 Prolene mattress sutures buttressed with felt-strips. He had an uncomplicated postoperative course and was discharged 7 days postoperatively.
authors.affiliation: Department of Cardiovascular Surgery, Nagoya East Medical Center, Nagoya, Japan.
authors.forename: Hisao
authors.initials: H
authors.lastname: Suda
authors.forename: Takuya
authors.initials: T
authors.lastname: Nakayama
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Sunada
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Miyata
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Yamada
mesh_terms: D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D006352:Heart Ventricles / Q000293:injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D009262:Nails; D014057:Tomography, X-Ray Computed; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000601:surgery; D055815:Young Adult