Removal of Unusual Foreign Metal Object (Nail) from the Right Ventricle of Human Heart: A Case Report

Authors

  • Mingliang Zuo, MMed Sichuan Academy of Medical Science & Sichuan Provincial People’s Hospital, Sichuan, China
  • Qiuyi Chen, BA Sichuan Academy of Medical Science & Sichuan Provincial People’s Hospital, Sichuan, China
  • Bo Xiang, MMed Sichuan Academy of Medical Science & Sichuan Provincial People’s Hospital, Sichuan, China
  • Tao Yu, MMed Sichuan Academy of Medical Science & Sichuan Provincial People’s Hospital, Sichuan, China
  • Lixue Yin, MMed Sichuan Academy of Medical Science & Sichuan Provincial People’s Hospital, Sichuan, China

DOI:

https://doi.org/10.1532/hsf.3559

Keywords:

foreign body, nail, migration, transesophageal echocardiography

Abstract

Migration of foreign bodies (FB) with the blood flow to the heart is a rare, but very alarming condition as it may lead to life-threatening complications and death. Objects that are larger than 5 mm in diameter and/or irregular in shape are recommended for removal from extra- and intracardiac areas to prevent incurable embolization. Surgical extraction of intracardiac objects is a serious surgical challenge associated with difficulties to operate, during the continuous movement of the heart, and identify the exact FB location. Early diagnosis and timely removal of FBs are crucial treatment factors for this rare case resolution. We report a case of accidental migration of a metal FB object (nail) about 1.0*0.3 cm from the right neck area jugular vein to the right ventricle apex in the heart. The FB localization was accurately detected using
Bi-plane transesophageal echocardiography (TEE) with a special comet-tail artifact. TEE provided valuable information before surgery, and the nail was successfully removed through open-heart surgical procedures and cardiopulmonary bypass (CPB). Postoperative tests indicated no complications.

References

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Published

2021-06-23

How to Cite

Zuo, M., Chen, Q., Xiang, B., Yu, T., & Yin, L. (2021). Removal of Unusual Foreign Metal Object (Nail) from the Right Ventricle of Human Heart: A Case Report. The Heart Surgery Forum, 24(3), E560-E563. https://doi.org/10.1532/hsf.3559

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Section

Articles