Needle embolus causing cardiac puncture and chronic constrictive pericarditis

被引:37
作者
LeMaire, SA [1 ]
Wall, MJ [1 ]
Mattox, KL [1 ]
机构
[1] Baylor Coll Med, Dept Surg, Ben Taub Gen Hosp, Houston, TX 77030 USA
关键词
D O I
10.1016/S0003-4975(98)00246-X
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We present a case in which a needle broke off during intravenous injection and embolized to the right heart. After cardiac perforation, the needle entered the pericardial space and ultimately caused chronic constrictive pericarditis, which presented as congestive heart failure. Pericardectomy and removal of the foreign body via a median sternotomy were successful. Early surgical removal of contaminated intrapericardial foreign bodies remains a safe and effective approach to preventing such complications. (C) 1998 by The Society of Thoracic Surgeons.
引用
收藏
页码:1786 / 1787
页数:2
相关论文
共 10 条
[1]   FOREIGN BODIES IN THE CARDIOVASCULAR SYSTEM [J].
BARRETT, NR .
BRITISH JOURNAL OF SURGERY, 1950, 37 (148) :416-445
[2]   FOREIGN BODY IN MYOCARDIUM AS A CAUSE OF CONSTRICTIVE PERICARDITIS [J].
KISHON, Y ;
PAUZNER, Y ;
DALITH, F ;
NEUFELD, HN .
THORAX, 1967, 22 (03) :238-+
[3]  
LEDGERWOOD AM, 1977, SURG CLIN N AM, V57, P97
[4]   NEEDLE EMBOLUS - A UNIQUE COMPLICATION OF INTRAVENOUS DRUG-ABUSE [J].
LEWIS, TD ;
HENRY, DA .
ANNALS OF EMERGENCY MEDICINE, 1985, 14 (09) :906-908
[5]   CONSTRICTIVE PERICARDITIS FOLLOWING TRAUMATIC HEMOPERICARDIUM [J].
MCKUSICK, VA ;
KAY, JH ;
ISAACS, JP .
ANNALS OF SURGERY, 1955, 142 (01) :97-103
[6]  
McLaughlin J S, 1967, Ann Thorac Surg, V3, P52
[8]  
SYMBAS PN, 1990, ANN SURG, V211, P639
[9]   WAR INJURIES OF HEART AND MEDIASTINUM [J].
VALLE, AR .
ARCHIVES OF SURGERY, 1955, 70 (03) :398-404
[10]  
VANWAY CW, 1989, SURG CLIN N AM, V69, P125