title: Self-inflicted Cardiac Injury with Nail Gun Without Hemodynamic Compromise: A Case Report.
abstract: Pneumatically powered nail guns have been used in construction since 1959. Penetrating injuries to the heart with nail guns have a wide range of presentations from asymptomatic to cardiac tamponade and exsanguination. Mortality related to cardiac nail gun injuries is similar to knife injuries, estimated at 25%. Surgical exploration is the treatment of choice. We describe a case of self-inflicted nail gun injury to the chest without hemodynamic compromise in a 51-year-old man. Computed tomography (CT) imaging confirmed nail penetrating the right ventricle, with the tip adjacent to but not violating the abdominal aorta. The patient was successfully treated with thoracotomy and foreign body removal.
authors.affiliation: College of Medicine, University of Central Florida.
authors.forename: Simon
authors.initials: S
authors.lastname: Ho
authors.affiliation: Diagnostic Radiology, Florida Hospital-Orlando.
authors.forename: Bo
authors.initials: B
authors.lastname: Liu
authors.affiliation: College of Medicine, University of Central Florida ; Florida Hospital-Orlando.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Feranec
keywords: cardiothoracic surgery; computed tomography; nail gun; penetrating chest injury; trauma