Key result
Rapid bedside multimodal imaging enables successful surgical repair of delayed biventricular nail gun perforation.
Why the study?
Delayed presentation of penetrating cardiac injury from a suicidal nail gun is rare and requires prompt diagnosis and management strategies.
Case Report (n=1)
We describe a case of delayed presentation of attempted suicide with a nail gun that penetrated both the right and left ventricle. Nearly invisible entry point of the nail did not reflect the gravity of the injury. A prompt and accurate history along with chest X-ray and bedside transthoracic echocardiography facilitated localization of the nails and helped assess the damage. Despite cardiac arrest after induction of general anesthesia, the patient had a successful outcome. Issues related to the injury site, modalities of investigation and management strategies in a patient with cardiac tamponade are discussed.
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Yiu et al. (2009) conducted a case report in Penetrating cardiac injury / cardiac tamponade (n=1). Nail gun injury and subsequent management was evaluated on Successful outcome. Prompt history, chest X-ray, and bedside echocardiography facilitated the successful surgical management of a patient with a delayed presentation of biventricular nail gun perforation.
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