Embolic Hypodermic Needle Causing Traumatic Cardiac Tamponade: A Case Report. (August 2019)

• Record Type: Journal Article
• Authors: Yen, Albert F.; Homer, Christina M.; Mohapatra, Alexander; Langnas, Erica; Gomez, Antonio; Hendrickson, Carolyn M.
• Is Part Of: Critical care explorations. Volume 1:Number 8(2019)
• Publication Date: 2019-08
• Subjects: cardiac tamponade (C14.280.155) -- embolism (C14.907.355.350) -- needle (E07.612) -- pericardial effusion (C14.280.695) -- substance abuse—intravenous (C25.775.793)
• DOI: 10.1097/CCE.0000000000000038
• Languages: English
• ISSNs: 2639-8028

Abstract

Abstract : Objectives: We present a unique case of a broken fragment of a hypodermic needle breaking and embolizing to the heart. This needle subsequently penetrated the right ventricle and the patient developed hemopericardium which resulted in cardiac tamponade physiology. Data Sources: None. Study Selection: None. Data Extraction: None. Data Synthesis: Recognizing the potential for unusual and serious complications of IV illicit drug use is an important part of providing effective and timely medical care in this vulnerable population. Conclusions: An embolic needle phenomenon can have significant sequela, including direct cardiac trauma leading to tamponade and subsequent cardiac collapse. Partnering with the patient to take a detailed history was critical in uncovering the underlying etiology of this patient's cardiogenic shock.