title: Penetrating Injury of the Heart From a Chronically Migrating Foreign Body.
abstract: A 46-year-old man experienced a remote unexpected lung injury with a sharp object. The object migrated over the years, penetrating the mediastinal structure, injuring the pericardium and the right-sided chambers of the heart. The injury was complicated by hemodynamic instability and pericardial tamponade. An emergent pericardiocentesis followed by thoracotomy, foreign body extraction, and puncture site closure. This is a very rare case of remote penetrating lung injury with a dormant course.
authors.affiliation: Cardiology Division, Internal Medicine Department, Salmaniya Medical Complex, Ministry of Health, Manama, Bahrain.
authors.forename: Jawaher
authors.initials: J
authors.lastname: Al-Jalahma
authors.affiliation: Cardiology Division, Internal Medicine Department, Salmaniya Medical Complex, Ministry of Health, Manama, Bahrain.
authors.forename: Wejdan
authors.initials: W
authors.lastname: Al-Hakami
authors.affiliation: Cardiology Division, Internal Medicine Department, Salmaniya Medical Complex, Ministry of Health, Manama, Bahrain.
authors.forename: Yazan
authors.initials: Y
authors.lastname: Musayab
authors.affiliation: Cardiovascular Surgery, Surgical Department, Salmaniya Medical Complex, Ministry of Health, Manama, Bahrain.
authors.forename: Tariq
authors.initials: T
authors.lastname: Ismail
authors.affiliation: Cardiovascular Surgery, Surgical Department, Salmaniya Medical Complex, Ministry of Health, Manama, Bahrain.
authors.forename: Rajasekharan
authors.initials: R
authors.lastname: Nair
authors.affiliation: Cardiology Division, Internal Medicine Department, Salmaniya Medical Complex, Ministry of Health, Manama, Bahrain. Electronic address: genfith@hotmail.com.
authors.forename: Khalid Bin
authors.initials: KB
authors.lastname: Thani
mesh_terms: D002305:Cardiac Tamponade / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D002908:Chronic Disease; D004452:Echocardiography / Q000379:methods; D005547:Foreign Bodies / Q000150:complications / Q000601:surgery; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging* / Q000601:surgery*; D005898:Glass; D006335:Heart Injuries / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D020519:Pericardiocentesis / Q000379:methods; D035583:Rare Diseases; D018570:Risk Assessment; D013908:Thoracotomy / Q000379:methods; D013997:Time Factors; D016896:Treatment Outcome; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000601:surgery