Citation

Tan MZ, Brunswicker A, Abdelraheem S, Sheehan A. Echocardiography 2017; 34(4): 614-616.

Affiliation

Critical Care Unit, Manchester Royal Infirmary, Central Manchester NHS Foundation Trusts, Manchester, United Kingdom.

Copyright

(Copyright © 2017, John Wiley and Sons)

DOI

10.1111/echo.13493

PMID

28294394

Abstract

Foreign bodies in the heart are rare occurrences with a limited evidence base to guide recommendations on management. We report a case of multiple cardioembolic strokes as a result of a self-inflicted sewing needle puncture from the anterior chest through the right ventricle and interventricular septum with its tip in the left ventricle close to the subvalvular apparatus in a 39-year-old psychiatric patient. We discuss issues surrounding decision making and ongoing care and highlight the importance of further follow-up and reporting of cases to form a robust evidence base to guide future recommendations.

© 2017, Wiley Periodicals, Inc.

Language: en

Keywords

cardioembolic; foreign body; psychiatry; self-harm; stroke; transthoracic