학술논문

Embolic Hypodermic Needle Causing Traumatic Cardiac Tamponade: A Case Report.
Document Type
article
Source
Critical care explorations. 1(8)
Subject
cardiac tamponade
embolism
needle
pericardial effusion
substance abuse—intravenous
Cardiovascular
Heart Disease
Language
Abstract
We present a unique case of a broken fragment of a hypodermic needle breaking and embolizing to the heart. This needle subsequently penetrated the right ventricle and the patient developed hemopericardium which resulted in cardiac tamponade physiology.Data sourcesNone.Study selectionNone.Data extractionNone.Data synthesisRecognizing the potential for unusual and serious complications of IV illicit drug use is an important part of providing effective and timely medical care in this vulnerable population.ConclusionsAn embolic needle phenomenon can have significant sequela, including direct cardiac trauma leading to tamponade and subsequent cardiac collapse. Partnering with the patient to take a detailed history was critical in uncovering the underlying etiology of this patient's cardiogenic shock.