To the content
3 . 2023

Heart damage by sewing needle. Problem analysis and clinical case

Abstract

Aim – to present a rare case of successful treatment of the patient with heart damage by sewing needle fragmented for 2 pieces and to analyze recent literature data describing this problem.

Material and methods. A rare clinical case of the heart damage with hemopericardium by sewing needle penetration of the thoracic wall and its fragmentation for 2 pieces that was successfully removed by surgery is described. An analysis of the up-to-date literature is also presented.

Conclusion. The problem of the heart damage by sewing needles is still actual because of the quite difficult diagnostics and treatment tactics. The authors made conclusion that it’s compulsory to make surgery as early as its possible in a cases of early patient admission because of high risk of complications in different time after the trauma. 

Keywords:heart damage; sewing needle in the heart; foreign body in the heart; heart damage surgery; hemopericardium

Funding. The study had no sponsor support

Conflict of interest. The authors declare no conflict of interest.

For citation: Anikin S.V., Zavaruev A.V., Ryabov E.V. Heart damage by sewing needle. Problem analysis and clinical case. Clinical and Experimental Surgery. Petrovsky Journal. 2023; 11 (3): 131–6. DOI: https://doi.org/10.33029/2308-1198-2023-11-3-131-136  (in Russian)

References

1.     Glyantsev S.P., Loginov D.T. The first foreign body (sew needle) removal from heart muscle. Byulleten’ NTsSSKh imeni A.N. Bakuleva RAMN. Serdechno-sosudistye zabolevaniya [Bulletin of the Scientific Center of Cardiovascular Surgery named after A.N. Bakulev RAMS. Cardiovascular Diseases]. 2002; 3 (11): 387. (in Russian)

2.     Artem’eva E.N., Frolov V.V. Rare cases of fatal stab wounds. Sudebnaya meditsina [Forensic Medicine]. 2016; 2 (1): 35–7. DOI: https://doi.org/10.19048/2411-8729-2016-2-1-35-37  (in Russian)

3.     Zakharova N.V., Bratslavsky V.B., Yaromich A.F., Svirido D.A. Clinic of acute coronary syndrome, provoked a foreign body in the heart. Vestnik Severo-Zapadnovgo gosudarstvennovo meditsinskogo universiteta imeni I.I. Mechnikova [Bulletin of the North-Western State Medical University Named after I.I. Mechnikov]. 2012; 4 (1): 116–20. (in Russian)

4.     Zykov V.V., Mal’tsev A.E. Forensic research of the case of self-damage with long-term death. Vyatskiy meditsinskiy vestnik [Vyatka Medical Bulletin]. 2018; 2 (58): 62–4. (in Russian)

5.     Nizovtseva S.A., Maslyakov V.V., Gorbelik V.R., Chumanov A.Yu. Foreign body of the heart (clinical case). Vestnik meditsinskogo instituta «REAVIZ» [Bulletin of the Medical Institute «REAVIZ»]. 2019; (6): 123–5. (in Russian)

6.     Hatcherson S., Venkata V.S., Aedma S., Nikhil N., Sivadasan M.L. Needle embolism to the heart: a case report and review. Cureus. 2021; 13 (4): e14469. DOI: https://doi.org/10.7759/cureus.14469  

7.     Contegiacomo A., Conti M., Trombatore P., Dezio M., Muciaccia M., Lozupone E., et al. Radiological features and management of retained needles. Br J Radiol. 2020; 93: 20200316.

8.     Pólos M., Domokos D., Şulea C.M., Benke K., Csikós G., Nagy A., et al. Needle in the heart: a rare case of cardiac tamponade caused by a migrated foreign body and mimicking ST segment elevation myocardial infarction. BMC Cardiovasc Disord. 2021; 21: 143. DOI: https://doi.org/10.1186/s12872-021-01950-6  

9.     Soren S., Surjit, Chaudhury S., Bakhla A.K. Multiple self-inserted pins and nails in pericardium in a patient of schizophrenia: case report and review. Ind Psychiatry J. 2015; 24 (1): 82–7. DOI: https://doi.org/10.4103/0972-6748.160959  PMID: 26257490; PMCID: PMC4525439

10. Dato Guglielmo M.A., Arslanian A., Marzio P.D., Filosso P.L., Ruffini E. Posttraumatic and iatrogenic foreign bodies in the heart: Report of fourteen cases and review of the literature. J Thorac Cardiovasc Surg. 2003; 126: 408–14. DOI: https://doi.org/10.1016/S0022-5223(03)00399-4  

11. Al-Sahaf M., Harling L., Harrison-Phipps K., Bille A. An unusual case of needle embolus presenting with delayed spontaneous pneumothorax. Ann Thorac Surg. 2016; 102 (3): e201–3.

12. Jamilla F.P., Casey L.C. Self-inflicted intramyocardial injury with a sewing needle: a rare cause of pneumothorax. Chest. 1998; 113 (2): 531–4. DOI: https://doi.org/10.1378/chest.113.2.531  PMID: 9498978.

13. Dong X., Zhai B., Li W., Cui Y., Chen Z., Wang P. Surgical removal of an intracardiac sewing needle in a 13-month-old Chinese girl: report of a case. Int Surg. 2015; 100 (3): 510–3. DOI: https://doi.org/10.9738/INTSURG-D-14-00166  PMID: 25785336; PMCID: PMC4370544.

14. Rijal S., Reddy R. A rare case of hemorrhagic pericardial effusion with cardiac tamponade caused by needle embolism in an intravenous drug user. Cureus. 2022; 14 (4): e23825. DOI: https://doi.org/10.7759/cureus.23825  

15. Perrotta S., Perrotta А., Lentini S. In patients with cardiac injuries caused by sewing needles is the surgical approach the recommended treatment? Interact Cardiovasc Thorac Surg. 2010; 10 (5): 783–92. DOI: https://doi.org/10.1510/icvts.2009.226167  

16. Supomo, Darmawan H. An unusual foreign body in the heart: a case report. Ann Thorac Cardiovasc Surg. 2018; 24 (4): 205–7. DOI: https://doi.org/10.5761/atcs.cr.17-00117  

All articles in our journal are distributed under the Creative Commons Attribution 4.0 International License (CC BY 4.0 license)

CHIEF EDITOR
CHIEF EDITOR
Sergey L. Dzemeshkevich
MD, Professor (Moscow, Russia)

Journals of «GEOTAR-Media»