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June 14, 2026JACC Case ReportsOpen Access

Cardiogenic Shock Following Sewing Needle Aspiration

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Why the study?

Intracardiac foreign bodies are rare but can lead to life-threatening complications, including cardiac tamponade and cardiogenic shock.

Population

A 54-year-old man presenting with acute chest pain, hypotension, and sinus tachycardia

Design

Case report

Follow-up

Postoperative day 6

Key result

Surgical removal of an accidentally ingested sewing needle that penetrated the right ventricle successfully resolved cardiac tamponade and cardiogenic shock.

Authors

MSM. Abdullah ShafiqJSJyotpal SinghPDPayam Dehghani

Discussion

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Member takes

Overview

Supports imaging for foreign bodies in unexplained tamponade; leaves open standardized protocols for rare intracardiac cases.

Key Points

  • To report an unusual case of cardiogenic shock caused by an intracardiac foreign body and its management.
  • A 54-year-old man presented with chest pain and hypotension.
  • Computed tomography angiography revealed a pericardial effusion and a needle in the pericardium.
  • The patient underwent urgent pericardial window and exploratory laparotomy.
  • Urgent pericardial window relieved cardiac tamponade.
  • Sewing needle was removed surgically, and the patient recovered fully.
  • Discharged on postoperative day 6.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A 54-year-old man presenting with cardiogenic shock and cardiac tamponade due to an accidentally ingested sewing needle.
E
Exposure
Urgent subxiphoid pericardial window followed by exploratory laparotomy and removal of a sewing needle.
O
Outcome
Relief of tamponade and full recovery.

Unexplained cardiac tamponade and cardiogenic shock can rarely be caused by intracardiac foreign bodies, requiring multimodality imaging for diagnosis.

Cite This Study

Shafiq et al. (2026) conducted a case report in Cardiogenic shock and cardiac tamponade (n=1). Sewing needle ingestion was evaluated on Clinical recovery. Surgical removal of an accidentally ingested sewing needle that penetrated the right ventricle successfully resolved cardiac tamponade and cardiogenic shock.

synapsesocial.com/papers/6a2e4632b1cc60ccdea8af3chttps://doi.org/10.1016/j.jaccas.2026.108317
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