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  • Title: Delayed presentation of right and left ventricle perforation due to suicidal nail gun injury.
    Author: Tuladhar S, Eltayeb A, Lakshmanan S, Yiu P.
    Journal: Ann Card Anaesth; 2009; 12(2):136-9. PubMed ID: 19602739.
    Abstract:
    We describe a case of delayed presentation of attempted suicide with a nail gun that penetrated both the right and left ventricle. Nearly invisible entry point of the nail did not reflect the gravity of the injury. A prompt and accurate history along with chest X-ray and bedside transthoracic echocardiography facilitated localization of the nails and helped assess the damage. Despite cardiac arrest after induction of general anesthesia, the patient had a successful outcome. Issues related to the injury site, modalities of investigation and management strategies in a patient with cardiac tamponade are discussed.
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