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  • Title: [Penetrating injury of the left ventricle caused by a nail gun; report of a case].
    Author: Suda H, Nakayama T, Sunada M, Miyata Y, Yamada T.
    Journal: Kyobu Geka; 2014 May; 67(5):411-4. PubMed ID: 24917290.
    Abstract:
    Penetrating cardiac injuries are life-threatening emergencies. We present a case of a 24-year-old construction worker who accidentally shot himself with a nail gun. Chest X-ray showed a 6 cm-long nail overlapping the cardiac shadow. A computed tomography (CT) scan revealed the nail penetrating the left ventricle and a large amount of pericardial effusion. Median sternotomy was performed and cardiopulmomary bypass was established. Then, the nail was removed and the left ventricular wound was repaired by 4-0 Prolene mattress sutures buttressed with felt-strips. He had an uncomplicated postoperative course and was discharged 7 days postoperatively.
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