Posttraumatic and iatrogenic foreign bodies in the heart: report of fourteen cases and review of the literature

Dato, Guglielmo Mario Actis; Arslanian, Anna; Marzio, Paolo Di; Filosso, Pier Luigi; Ruffini, Enrico

doi:10.1016/s0022-5223(03)00399-4

Cited by 111 publications

(47 citation statements)

References 30 publications

(46 reference statements)

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“…By doing so, the needle may have cut the distal part of the catheter. Reinserting a needle back into a catheter can be dangerous, and there is a risk of damaging the catheter or cutting it off and thereby allowing the free part of the catheter to migrate to the heart, a consequence that could be disastrous and would make removal of the catheter far more difficult 3, 4 . The use of ultrasound made a quick diagnosis and enhanced treatment possible, thereby preventing further complications.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Using ultrasound to prevent a broken catheter from migrating to the heart.

2017

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Peripheral intravenous (IV) catheters can break off while still in the patient, with possible detrimental effects such as upstream migration to the heart. These catheters have probably been damaged by the needle during a difficult insertion. A peripheral IV catheter was removed in a 90 year old patient and only half of the catheter was retrieved. By using ultrasound examination the remaining part of the IV catheter was identified, and retrieved surgically, before it could migrate towards the heart. This case report suggests that ultrasound should not only be used for difficult placement of a peripheral IV catheter, but can also be used when removal is complicated.

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Section: Discussionmentioning

confidence: 99%

Case Report: Using ultrasound to prevent a broken catheter from migrating to the heart.

2017

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“…Although there are no formal guidelines, Actis Dato et al 3 assessed 14 cases of foreign bodies in the heart and suggested some guidelines about the management of these foreign bodies. They suggested that if the patient is symptomatic then surgical removal should be carried out, if the patient is asymptomatic (with associated risk of infection, embolisation, erosion) then surgery is indicated and if the patient is asymptomatic without any symptoms then surgery is indicated depending on the location and nature of the foreign body within the heart 3…”

Section: Discussionmentioning

confidence: 99%

An incidental finding of a calcified right-atrial mass in a young patient treated with chemotherapy 20 years ago

Rathod¹,

Westwood

Uppal

et al. 2014

BMJ Case Reports

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We describe a case of a young woman presenting with lethargy and pleuritic chest pain. She had a medical history of leukaemia treated successfully 20 years ago with chemotherapy via a long line. Although initial investigations suggested a diagnosis of pulmonary embolism (PE; on CT pulmonary angiogram (CTPA)) and a possible thrombus in the right atrium, her symptoms appeared out of proportion in relation to this diagnosis. Further imaging using transthoracic echocardiography suggested the presence of a calcified mass in the right atrium. She underwent successful surgical resection of the mass which was found to be attached to the lateral wall of the right atrium. She made an uneventful recovery and continued on warfarin therapy for 6 months in view of the diagnosis of PE on CTPA. We believe the calcified mass was probably caused by the presence of a long line at the time of her chemotherapy.

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“…A ventricular or atrial embolic bullet that does not cause immediate symptoms becomes entrapped between the trabeculations or pectinate muscles and eventually becomes encapsulated with fibrous tissue. It may then remain inconsequential, produce myocardial instability or valvular dysfunction, become a nidus for endocarditis, or embolize further downstream (1,11). …”

Section: Discussionmentioning

confidence: 99%

Intravascular Bullet Embolism to the Right Atrium

Springer

Newman

McGoey

2010

Journal of Forensic Sciences

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Bullet embolism is a relatively unusual complication of gunshot wounds. Embolism to the right atrium comprises <5% of all reported intravascular bullet emboli. We report an additional case of bullet embolus to the right atrium of a 0.38-caliber bullet following a gunshot wound to the chest. The intracardiac bullet was recognized radiologically on presentation, but the patient was hemodynamically stable and managed conservatively, with the bullet left in place. The missile remained within the heart without clinical significance for several years and was recovered from the right atrium only at the time of autopsy. To the best of our knowledge, this is the first documented case of a 0.38-caliber bullet which embolized to the right atrium and remained inconsequential for an extended period of time.

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Posttraumatic and iatrogenic foreign bodies in the heart: report of fourteen cases and review of the literature

Cited by 111 publications

References 30 publications

Case Report: Using ultrasound to prevent a broken catheter from migrating to the heart.

Case Report: Using ultrasound to prevent a broken catheter from migrating to the heart.

An incidental finding of a calcified right-atrial mass in a young patient treated with chemotherapy 20 years ago

Intravascular Bullet Embolism to the Right Atrium

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