Needle injury to the heart.

Management of Metallic Foreign Bodies in the Heart

“…Such patients usually suffer from mental disorders and alcoholism. Self‐inflicted injury is usually an expression of depressive behaviors or a suicide attempt 5‐7,10,11 , 15‐18 …”

“…Most of the authors recommend early removal of the intracardiac foreign bodies to prevent complications 5,9,16,17,21,35 . Asymptomatic patients have certain risks such as late embolic, infection or erosion, and septic sequelae from retained pins and needles 34 .…”

Unsuccessful suicidal attempts by sewing needle introducing to chest: Removing 17 ones from the right ventricle and breast tissue in two stages; case report and literature review

“…The remaining needles in the left breast tissue were not for further surgical intervention. Tan et al 2017 [ 32 ] 39/F Cerebral palsy and long-standing left-sided weakness Multiple ND Conservative management with antibiotics penetrated the RV through the interventricular septum and had its tip within the LV cavity close to the posterior leaflet of the mitral valve ND Thromboembolic infarct of right parietal lobe 15 months later Kurzawski et al 2017 [ 33 ] 60/F Chest pain preceding syncope 1 Inconclusive Not allowed to remove LV, one in the lateral wall of the LV and crossing the atrioventricular septum right behind the posterior mitral leaflet Alcohol and substance misuse Improvement conservatively Hirose et al 2019 [ 34 ] 55/F Gait and speech disturbance 1 NSR Left thoracotomy The posterior wall of the LV MDD ND Yamamoto et al 2019 [ 35 ] 14/F Chest pain 1 NSR Thoracotomy with cardiopulmonary bypass In the heart Munchausen syndrome Improvement Huang et al 2020 [ 36 ] 32/F Chest pain 1 ND Video-assisted thoracoscopic cardiac surgery Ventricular septum No history of trauma or mental illness Improvement Our case 35/F Others reported 17 NSR Thoracotomy with cardiopulmonary bypass, Reductive Mammoplasty RV, Chest wall, Left breast tissue Schizophrenia Improvement Abbreviations: BPD: Bipolar mood disorder, CVA: Cerebrovascular accident, F: Female, F/U: Follow up, ID: Intellectual disability, LADA: Left anterior descending artery, LV: Left ventricle, M: male, MDD: Major depressive disorder, ND: Non-declared, NSR: Normal sinus rhythm, RV: Right ventricle, TAND: Tuberous sclerosis complex associated neuropsychiatric disorders. …”

“…She had schizophrenia. The literature indicates major depressive disorder and mood disorders [ 14 , 15 , 17 , 19 , 23 , [30] , [31] , [32] , [33] , [34] , [35] ], followed by schizophrenia [ 18 , 20 , 28 , [36] , [37] , [38] , [39] ] as underlying mental problems. Unfortunately, she repeated this act about one month later with 13 needles, which also caused necrotic mastitis.…”

Sewing needle penetration into the heart in an infant

“…[3] Cases of child abuse have also been reported and should also be considered in this context. [4] However, due to the young age of the child, it is often not easy to elucidate the history of the injury; therefore, clinical observation and early imaging of the needle are advocated.…”