Hajsadeghi Shokoufeh, Zeraatian Nejad Davani Sam, Pour Mohammad Arash, Gholizadeh Mesgarha Milad
Research center for prevention of cardiovascular disease, Institute of endocrinology & metabolism, Iran University of Medical Sciences (IUMS), Tehran, Iran.
Department of cardiovascular surgery, Rasool akram hospital, Iran University of Medical Sciences (IUMS), Tehran, Iran.
Radiol Case Rep. 2021 Aug 26;16(11):3280-3284. doi: 10.1016/j.radcr.2021.07.068. eCollection 2021 Nov.
We report a case of an accidental penetrating cardiac trauma with a nail gun. A 28-year-old man was repairing a sofa with a nail gun when a nail was misfired to his chest. At the time of his presentation, he underwent chest CT scan, showing the nail as a sharp hyperdense foreign body penetrating the chest wall passing through the lower lobe of the left lung and finally the anterior aspect of left ventricle cavity. This report highlights the utility of the chest CT scan to detect trajectory of the misfired nail accurately and instantaneously in a hemodynamically stable patient to assist in the surgery plan.
我们报告一例使用射钉枪导致的意外穿透性心脏创伤病例。一名28岁男性在用射钉枪修理沙发时,一枚钉子误发射至其胸部。在他就诊时,进行了胸部CT扫描,显示钉子为尖锐的高密度异物,穿透胸壁,穿过左肺下叶,最终抵达左心室腔前壁。本报告强调了胸部CT扫描在血流动力学稳定的患者中准确、即时检测误发射钉子轨迹以辅助手术规划的作用。