AI Article Synopsis

  • Most foreign bodies injure the chest at the moment of injury, with rare cases of delayed complications.
  • A notable case involved a staple penetrating the heart, causing hemopericardium 30 days later.
  • The importance of recognizing pericardial tamponade, stabilizing with pericardiocentesis, and performing immediate exploration is highlighted.

Article Abstract

Most foreign bodies in the chest do their damage at the time of injury. While needle-like objects may migrate (6), delayed intrathoracic injury is rare. Delayed transthoracic penetration of the heart by a staple is reported, and is felt to be unique because acute hemopericardium resulted 30 days after the time of initial injury. The principles of recognition of pericardial tamponade, initial stabilization with periocardiocentesis, and immediate exploration are emphasized.

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http://dx.doi.org/10.1097/00005373-198603000-00017DOI Listing

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