title: Needle fragment embolism into the right ventricle: a rare cause of chest pain case report and literature review.
abstract: Chest pain in young adults is usually self-limited and of benign etiology. However, rare causes of chest pain must be considered in patients for whom initial diagnostic tests are negative, particularly if unusual risk factors are identified. The authors present a rare case describing a 27-year-old male intravenous drug user who developed transient chest pain most likely secondary to pericardial irritation caused by a needle fragment that embolized from a peripheral vein to his right ventricle. The current literature on intracardiac needles and similar foreign bodies is discussed, providing insight to the epidemiology, complications, and treatment of such patients.
authors.affiliation: 2nd Department of Medicine-Department of Cardiovascular Medicine, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, U Nemocnice 2, 128 08, Prague 2, Czech Republic.
authors.forename: Barbara Anna
authors.initials: BA
authors.lastname: Danek
authors.affiliation: 2nd Department of Medicine-Department of Cardiovascular Medicine, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, U Nemocnice 2, 128 08, Prague 2, Czech Republic. kuchynkap@seznam.cz.|International Clinical Research Center, St. Anne's University Hospital in Brno, Brno, Czech Republic. kuchynkap@seznam.cz.
authors.forename: Petr
authors.initials: P
authors.lastname: Kuchynka
authors.affiliation: 2nd Department of Medicine-Department of Cardiovascular Medicine, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, U Nemocnice 2, 128 08, Prague 2, Czech Republic.|International Clinical Research Center, St. Anne's University Hospital in Brno, Brno, Czech Republic.
authors.forename: Tomas
authors.initials: T
authors.lastname: Palecek
authors.affiliation: Department of Radiology, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic.
authors.forename: Vladimir
authors.initials: V
authors.lastname: Cerny
authors.affiliation: Department of Cardiology Bulovka, Prague, Czech Republic.
authors.forename: Karel
authors.initials: K
authors.lastname: Hlavacek
authors.affiliation: Department of Radiology, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic.
authors.forename: Lukas
authors.initials: L
authors.lastname: Lambert
authors.affiliation: 2nd Department of Medicine-Department of Cardiovascular Medicine, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, U Nemocnice 2, 128 08, Prague 2, Czech Republic.
authors.forename: Eduard
authors.initials: E
authors.lastname: Nemecek
authors.affiliation: 2nd Department of Medicine-Department of Cardiovascular Medicine, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, U Nemocnice 2, 128 08, Prague 2, Czech Republic.
authors.forename: Jana
authors.initials: J
authors.lastname: Podzimkova
authors.affiliation: 2nd Department of Medicine-Department of Cardiovascular Medicine, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, U Nemocnice 2, 128 08, Prague 2, Czech Republic.
authors.forename: Ales
authors.initials: A
authors.lastname: Linhart
mesh_terms: D000328:Adult; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D004617:Embolism / Q000175:diagnosis* / Q000209:etiology*; D005548:Foreign-Body Migration / Q000150:complications / Q000175:diagnosis; D006352:Heart Ventricles / Q000293:injuries*; D006801:Humans; D009339:Needles / Q000009:adverse effects*; D016896:Treatment Outcome; D054556:Venous Thromboembolism / Q000175:diagnosis / Q000209:etiology*
keywords: Chest pain; Drug user; Needle embolism; Right ventricle