在多种影像学手段的引导下从室间隔取出缝针。
Removal of sewing needles from interventricular septum under the guidance of multiple imaging modalities.
机构信息
Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, Changsha, China.
Department of Cardiovascular Surgery, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.
出版信息
J Card Surg. 2022 Aug;37(8):2416-2418. doi: 10.1111/jocs.16561. Epub 2022 May 9.
BACKGROUND
Penetration of the interventricular septum (IVS) by a sharp foreign body is a rare and potentially life-threatening event.
METHODS
We present the case of a 43-year-old female who had thrust four embroidery needles into her left chest wall while experiencing hallucinations after using an illegal drug. One needle had penetrated the heart and was embedded in the IVS, as confirmed by intraoperative transesophageal echocardiography (TEE), and one needle had lodged in the left chest wall.
RESULTS
The sewing needles penetrating the IVS and chest wall were successfully removed under the guidance of TEE and a cardiopulmonary bypass without cross-clamping the aorta or opening the heart.
CONCLUSION
The sewing needles embedded in the IVS and left chest wall were successfully removed with the aid of multiple imaging modalities.
背景
尖锐异物穿透室间隔是一种罕见且可能危及生命的事件。
方法
我们报告了一例 43 岁女性的病例，该女性在使用非法药物后出现幻觉，将四根绣花针插入左侧胸壁。一根针已穿透心脏并嵌入室间隔，术中经食管超声心动图（TEE）证实，另一根针则位于左侧胸壁。
结果
在 TEE 和体外循环的引导下，无需主动脉阻断或心脏切开，成功地取出了穿透室间隔和胸壁的缝衣针。
结论
借助多种影像学手段，成功地取出了嵌入室间隔和左侧胸壁的缝衣针。
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