title: Swallowed a needle stuck in heart.
abstract: Cardiac tamponade (CT) is a clinical entity characterized by hemodynamic insufficiency resulting from increased intrapericardial pressure due to accumulation of contents such as serous fluid, blood, and pus. CT is a treatable cause of cardiogenic shock, which can be fatal unless diagnosed promptly. Dyspnea, chest pain, hypotension, tachycardia, pulsus paradoxus, raised jugular venous pressure, muffled heart sounds, decreased electrocardiographic voltage, and enlarged cardiac silhouette on chest X-ray are the major clinical signs in CT. Idiopathic or viral pericardititis, iatrogenic trauma during percutaneous coronary interventions or coronary artery bypass grafting, external trauma, malignancies, acute or chronic kidney disease, collagen vascular diseases, tuberculosis, radiation on the chest wall, hypothyroidism and aortic dissection are the etiologic factors. Herein, we present a case of surgically treated CT, which was diagnosed in the third day of ingestion of a sewing needle.
authors.affiliation: Department of Cardiology, Erzurum Region Training and Research Hospital, Erzurum, Turkey. yolcudoctor@gmail.com.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Yolcu
authors.affiliation: Department of Cardiology, Erzurum Region Training and Research Hospital, Erzurum, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Aydın
authors.affiliation: Department of Cardiology, Erzurum Region Training and Research Hospital, Erzurum, Turkey.
authors.forename: Ali Fuat
authors.initials: AF
authors.lastname: Korkmaz
authors.affiliation: Department of Cardiovascular Surgery, Erzurum Region Training and Research Hospital, Erzurum, Turkey.
authors.forename: Özgür
authors.initials: Ö
authors.lastname: Dağ
authors.affiliation: Department of Cardiology, Erzurum Region Training and Research Hospital, Erzurum, Turkey.
authors.forename: Emrah
authors.initials: E
authors.lastname: Ipek
authors.affiliation: Department of Cardiovascular Surgery, Erzurum Region Training and Research Hospital, Erzurum, Turkey.
authors.forename: Bilgehan
authors.initials: B
authors.lastname: Erkut
mesh_terms: D000328:Adult; D002305:Cardiac Tamponade; D004947:Esophagus / Q000000981:diagnostic imaging / Q000473:pathology; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000601:surgery; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D009206:Myocardium / Q000473:pathology; D009339:Needles / Q000009:adverse effects*; D011859:Radiography