Tan Mark Zheng Yi, Brunswicker Annemarie, Abdelraheem Shamsaldeen, Sheehan Alison
Department of Anaesthesia, Salford Royal NHS Foundation Trust, Salford, United Kingdom.
Department of Cardiothoracic Surgery, University Hospital of South Manchester NHS Foundation Trust, Manchester, United Kingdom.
Echocardiography. 2017 Apr;34(4):614-616. doi: 10.1111/echo.13493. Epub 2017 Mar 14.
Foreign bodies in the heart are rare occurrences with a limited evidence base to guide recommendations on management. We report a case of multiple cardioembolic strokes as a result of a self-inflicted sewing needle puncture from the anterior chest through the right ventricle and interventricular septum with its tip in the left ventricle close to the subvalvular apparatus in a 39-year-old psychiatric patient. We discuss issues surrounding decision making and ongoing care and highlight the importance of further follow-up and reporting of cases to form a robust evidence base to guide future recommendations.
心脏内异物是罕见情况，用于指导治疗建议的证据基础有限。我们报告了一例39岁精神疾病患者的病例，该患者因自伤导致一枚缝纫针从前胸刺入，穿过右心室和室间隔，针尖位于左心室内靠近瓣膜下装置处，引发了多次心源性栓塞性中风。我们讨论了决策和持续护理方面的问题，并强调了进一步随访和报告病例以形成有力证据基础来指导未来建议的重要性。
