title: Cardiac tamponade caused by a migrating sewing needle.
abstract: : Penetrating injuries of the heart caused by migrating needles have been rarely described. They usually occur accidentally or are self-inflicted in the setting of an underlying psychiatric disorder. We present an unusual case of cardiac tamponade caused by a sewing needle that migrated to the heart from the chest wall through the lung. The lesions were successfully repaired through a median sternotomy without cardiopulmonary bypass. The pathophysiological mechanism and the pertinent literature are briefly analysed.
authors: aDepartment of Cardiac Surgery bDepartment of Thoracic Surgery, Santa Maria della Misericordia Hospital, Perugia, Italy.
authors: Alessandro
authors: A
authors: Affronti
authors: Isidoro
authors: I
authors: Di Bella
authors: Davide
authors: D
authors: Di Lazzaro
authors: Rosanna
authors: R
authors: Capozzi
authors: Elisa
authors: E
authors: Scarnecchia
authors: Temistocle
authors: T
authors: Ragni
mesh_terms: D000062:Accidents, Occupational; D000328:Adult; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008297:Male; D009339:Needles; D010490:Pericardial Effusion / Q000209:etiology; D056346:Sternotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome