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Ercan Eren
Cüneyt Keles
Basar Sareyyupoglu
Cevat Yakut
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J Thorac Cardiovasc Surg 2004;127:598
© 2004 The American Association for Thoracic Surgery

Brief communication

Penetrating injury of the heart by a nail gun

Ercan Eren, MDa,*, Cüneyt Keles, MDa, Basar Sareyyupoglu, MDa, Nilgun Bozbuga, MDa, Mehmet Balkanay, MDa, Cevat Yakut, MDa

a Kosuyolu Heart and Research Hospital, Department of Cardiovascular Surgery, stanbul, Turkey

Received for publication July 25, 2003; accepted for publication September 9, 2003.

* Address for reprints: Ercan Eren, MD, Atif Bey sok, Yeniköy Sitesi A3 Blok Daire 7 81020, Kosuyolu, stanbul, Turkey
dreren1@lycos.com

The first 20% of the full text of this article appears below.

Nail-gun injuries may occur accidentally or be self-inflicted. The most commonly affected area in the heart is the right ventricle because of its anterior location to the chest. Although these injuries are considered survivable in the modern era, expedient surgery and timing of intervention are critical for obtaining good results.

Clinical summary

A 37-year-old construction worker was sent to the emergency service for an accidental nail-gun shot injury of the chest. At admission, he was noted to be alert; his blood pressure was 95/55 mm Hg and his heart rate was 115 beats per minute. He had no murmur on auscultation. He was tachypneic with shallow respiration. On . . . [Full Text of this Article]




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