Kaneda K, Kawachi K, Morita R, Nishii T, Taniguchi S, Inoue K, Seki T, Kawata T, Hamada Y, Hasegawa J
Department of Surgery III, Nara Medical College.
Kyobu Geka. 1991 May;44(5):437-40.
A 54-year-old man suddenly felt a strike on his chest while mowing with a machine. At first he had no symptoms except for wound pain, but several hours later, he suffered from high fever with chilliness. The chest roentgenogram showed a foreign body localized within the cardiac shadow. The echocardiogram revealed that the metallic fragment was embedded in the inferior wall of the left ventricle. It appeared that the fragment entered the left ventricular cavity through his anterior chest wall, the right ventricular outflow tract and the ventricular septum. At the operation, the location of the foreign body was again confirmed by the intraoperative echocardiography and the fragment was successfully removed through a left ventricular incision under cardiopulmonary bypass. The postoperative course was uneventful and the case was reported with a review of the literature.
一名54岁男性在用机器割草时胸部突然受到撞击。起初，除了伤口疼痛外他没有其他症状，但数小时后，他出现高热伴寒战。胸部X线片显示异物位于心影内。超声心动图显示金属碎片嵌入左心室下壁。碎片似乎是从前胸壁、右心室流出道和室间隔进入左心室腔的。手术中，通过术中超声心动图再次确认了异物的位置，并在体外循环下经左心室切口成功取出碎片。术后过程顺利，并结合文献复习报道了该病例。
