Surgical removal of an intracardiac sewing needle in a 13-month-old Chinese girl: report of a case

International Surgery
Xiangyang DongPenggao Wang

Abstract

Sewing needles, albeit rare in the case of penetrating cardiac injury, are highly lethal; especially in children, because the injury is difficult to diagnose and treat. We herein present the case of a 13-month-old girl who was injured by a sewing needle inserted in the myocardium; it is the first report of its kind from mainland China. The 13-month-old girl was referred to our hospital with a range of symptoms, including convulsions, diarrhea, and cough. Chest X-ray and echocardiogram revealed a needle located below the aortic valve, passing through the ventricular septum and aortic root. Surgical removal of the needle was performed under extracorporeal circulation. No hemorrhage or arrhythmia was seen, so the operation was ended, and the patient was discharged 8 days after the surgery. An early diagnosis and intervention proved to be lifesaving for this patient with a penetrating cardiac injury. We hope this case can provide a reference for the treatment of similar situations.

References

Aug 8, 2002·Pediatric Radiology·Ismail MihmanliCanan Akman
Mar 18, 2004·The Annals of Thoracic Surgery·Craig J BakerWinfield J Wells
Jan 25, 2006·Asian Cardiovascular & Thoracic Annals·Sachin TalwarA Sampath Kumar
Nov 2, 2007·Pediatric Surgery International·Juan E SolaHolly L Neville
Feb 9, 2010·Interactive Cardiovascular and Thoracic Surgery·Sossio PerrottaSalvatore Lentini

❮ Previous
Next ❯

Citations

Jun 21, 2016·Cardiology in the Young·Sandeep ChoudharyChinnaswamy Reddy
Feb 18, 2016·World Journal for Pediatric & Congenital Heart Surgery·Jerette J SchultzWilliam M DeCampli
Jul 6, 2018·Indian Journal of Pediatrics·Jieru CaiXiaoqiang Ding

❮ Previous
Next ❯

Methods Mentioned

BETA
X-ray

Related Concepts

Related Feeds

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Cardiotoxicity

Cardiotoxicity refers to the muscle damage or dysfunction of heart electrophysiology caused by drug intake or due to disease complications. It is a well-known side effect of several cytotoxic drugs, especially of the anthracyclines and can lead to long term morbidity. Here is the latest research.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Related Papers

Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
Masanori MurakamiKimikazu Hamano
La Semana médica
H J FELIPOZZIC M BANDEIRA DE MELO
© 2021 Meta ULC. All rights reserved