Nail gun penetrating injury of the heart mimicking an acute coronary syndrome
We describe the case of a 75-year-old man admitted to hospital for chest pain and syncope. Physical examination was normal with evidence of a very small wound on the left chest. Considering the presence of multiple coronary risk factors, an acute coronary syndrome was initially suspected, but the el...
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Veröffentlicht in: | International journal of emergency medicine 2010-06, Vol.3 (2), p.135-137 |
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description | We describe the case of a 75-year-old man admitted to hospital for chest pain and syncope. Physical examination was normal with evidence of a very small wound on the left chest. Considering the presence of multiple coronary risk factors, an acute coronary syndrome was initially suspected, but the electrocardiogram (EKG) was normal and only a slight increase of cardiac enzymes was detected. The hypothesis of aortic dissection was also considered and in order to discriminate between the aortic and coronary syndrome, a thoracic and coronary computed tomography (CT) scan was performed. The CT scan showed a metallic structure, suggestive of a nail, about 6 cm in length, in the deep layers of the left ventricular wall and a small pneumothorax due to a lung lesion. The patient was therefore transferred to our department for urgent cardiac surgery that was performed without complications. |
doi_str_mv | 10.1007/s12245-009-0152-5 |
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Physical examination was normal with evidence of a very small wound on the left chest. Considering the presence of multiple coronary risk factors, an acute coronary syndrome was initially suspected, but the electrocardiogram (EKG) was normal and only a slight increase of cardiac enzymes was detected. The hypothesis of aortic dissection was also considered and in order to discriminate between the aortic and coronary syndrome, a thoracic and coronary computed tomography (CT) scan was performed. The CT scan showed a metallic structure, suggestive of a nail, about 6 cm in length, in the deep layers of the left ventricular wall and a small pneumothorax due to a lung lesion. The patient was therefore transferred to our department for urgent cardiac surgery that was performed without complications.</description><subject>Acute coronary syndromes</subject><subject>Angiology</subject><subject>Cardiology</subject><subject>Case Report</subject><subject>Emergency Medicine</subject><subject>Heart attacks</subject><subject>Internal Medicine</subject><subject>Medical diagnosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Pediatrics</subject><issn>1865-1372</issn><issn>1865-1380</issn><issn>1865-1380</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kU9v1DAQxS0EolXpB-CCrF44pYz_xnuphKoWKhW4wNlynMmuS2IvdlKp375ebVkKEqex9H5-80aPkLcMzhlA-6EwzqVqAFYNMMUb9YIcM6NVw4SBl4d3y4_IaSmhAylbCa2Rr8kRBw3acHlMvnx1YaTrJdItRpyzm0Nc0xDvlvxA00DnDdINujzTKUzB_9ypLlLnlxmpTzlFV8HyEPucJnxDXg1uLHj6NE_Ij-ur75efm9tvn24uP942XmozN960yhjWrTrg3cr7vsXBIQ4CsGbUgxYCvHYKZd8JqaVz0vkV56pHCYqBOCEXe9_t0k3Ye4w1-Wi3OUw1jk0u2L-VGDZ2ne4tN0ZxrarB-yeDnH4tWGY7heJxHF3EtBTbCqGl4lxU8uwf8i4tOdbrrNFcaK6ErhDbQz6nUjIOhygM7K4tu2_L1rbsri27i_Du-Q2HH7-7qQDfA6VKcY35z-b_uz4CtVegpA</recordid><startdate>201006</startdate><enddate>201006</enddate><creator>Comoglio, Chiara</creator><creator>Sansone, Fabrizio</creator><creator>Boffini, Massimo</creator><creator>Ribezzo, Marco</creator><creator>Rinaldi, Mauro</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><general>Springer-Verlag</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201006</creationdate><title>Nail gun penetrating injury of the heart mimicking an acute coronary syndrome</title><author>Comoglio, Chiara ; 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subjects | Acute coronary syndromes Angiology Cardiology Case Report Emergency Medicine Heart attacks Internal Medicine Medical diagnosis Medicine Medicine & Public Health Pediatrics |
title | Nail gun penetrating injury of the heart mimicking an acute coronary syndrome |
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