Nail gun may cause heart injury: A young adult’s misadventure

Madani, M.; Drissi, M.; Ajaja, Mohamed Rida; Rifai, Maatir; Moutaouakkil, El Mehdi; Cheikhaoui, Younes; Slaoui, Amine

doi:10.1016/j.ienj.2011.06.006

Cited by 7 publications

(9 citation statements)

References 7 publications

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“…Chest computed tomography (CT) scans can be used to confirm the intra-thoracic position of the nail, and to detect pericardial effusion [8]. The stable status of our case at admission gave us the chance to perform preoperative CT and bedside echocardiography [14][15][16][17].…”

Section: Discussionmentioning

confidence: 88%

Delayed Pericardial Tamponade after Nail Gun Injury to the Right Ventricle

Ya¹

2019

SAJ Case Reports

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Section: Discussionmentioning

confidence: 88%

Delayed Pericardial Tamponade after Nail Gun Injury to the Right Ventricle

Ya¹

2019

SAJ Case Reports

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“…Indeed, we find several other reports similar to ours in which a patient suffering chest penetration from a nail gun, regardless of intention, had asymptomatic or delayed presentation [ 3 , 5 - 6 , 8 , 10 ]. This is not to say that nail gun injuries are benign, as penetrating chest injury by nail gun has also led to catastrophic hemodynamic insufficiency [ 2 , 4 , 7 , 9 ]. The wide range of presentations is likely due to the nail guns’ wide range of muzzle energies, lack of stabilization, and poor accuracy.…”

Section: Discussionmentioning

confidence: 99%

“…Unstable patients should be taken immediately to the operating room. More stable patients can receive imaging such as routine chest radiograph or CT scan to help diagnose complications such as hemothorax, hemopericardium, pneumopericardium, and others [ 7 ]. CT should only be attempted on stable patients, but is particularly useful in reconstructing the track of the penetrating object and possible migration.…”

Section: Discussionmentioning

confidence: 99%

“…CT should only be attempted on stable patients, but is particularly useful in reconstructing the track of the penetrating object and possible migration. Intraoperative transesophageal echocardiogram has been reported to be helpful in guiding surgical treatment [ 7 , 10 ]. In this case, the patient was stable enough to undergo preoperative imaging, which helped guide operative therapy.…”

Section: Discussionmentioning

confidence: 99%

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Self-inflicted Cardiac Injury with Nail Gun Without Hemodynamic Compromise: A Case Report

Liu

Feranec

2017

Cureus

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Pneumatically powered nail guns have been used in construction since 1959. Penetrating injuries to the heart with nail guns have a wide range of presentations from asymptomatic to cardiac tamponade and exsanguination. Mortality related to cardiac nail gun injuries is similar to knife injuries, estimated at 25%. Surgical exploration is the treatment of choice. We describe a case of self-inflicted nail gun injury to the chest without hemodynamic compromise in a 51-year-old man. Computed tomography (CT) imaging confirmed nail penetrating the right ventricle, with the tip adjacent to but not violating the abdominal aorta. The patient was successfully treated with thoracotomy and foreign body removal.

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“…For patients with unstable hemodynamics, emergency exploratory thoracotomy should be performed. Intraoperative transesophageal echocardiography has been reported to help guide surgical treatment [Madani 2012;Tuladhar 2009]. Yamamoto et al believe that cardiopulmonary bypass is a safe alternative for maintaining hemodynamic stability, identifying the exact site of damaged vessels, and safely repairing injuries during surgery [Yamamoto 2020].…”

Section: E1050mentioning

confidence: 99%