Trans-sternal cardiac injury caused by a hooked needle. Issue 10 (27th September 2005)

• Record Type: Journal Article
• Authors: Yanar, H; Aksoy, M; Taviloglu, K; Unal, E S; Kurtoglu, M; Nisli, K
• Is Part Of: Emergency medicine journal. Volume 22:Issue 10(2005)
• Page Start: 751
• Page End: 753
• Publication Date: 2005-09-27
• Subjects: cardiac injury -- pediatric -- trans-sternal -- trauma; Emergency medicine -- Periodicals; 616.02505
• DOI: 10.1136/emj.2004.014779
• Languages: English
• ISSNs: 1472-0205

Abstract

Abstract : Cardiac injuries remain the most challenging of all injuries seen in the field of trauma surgery. Penetrating injury to the heart generally occurs less frequently than blunt injury and most commonly injures the large anterior right ventricle. We present an unusual, and to our knowledge a previously unreported, cause of cardiac penetrating trauma in a child, involving a hooked needle (a 15 cm long, metallic device usually used for crocheting or lacemaking). A ventricular septal defect was managed conservatively shortly after the primary cardiorrhaphy. Evaluation methods for this rare presentation and its possible surgical treatments are discussed.