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J Thorac Cardiovasc Surg 2005;130:210-212
© 2005 The American Association for Thoracic Surgery

Brief Communication

Successful removal of migrated acupuncture needles in a patient with cardiac tamponade by means of intraoperative transesophageal echocardiographic assistance

Jae-Hyeong Park, MD a , * , Hong Ju Shin, MD b , Suk Jung Choo, MD b , Jae Kwan Song, MD c , Jae-Joong Kim, MD c

a Division of Cardiology, Department of Internal Medicine, Chonbuk National University Medical School, Jeonju, Korea
b Department of Cardiovascular Surgery, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea
c Division of Cardiology, Department of Internal Medicine, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea.

Received for publication November 7, 2004; revisions received November 21, 2004; accepted for publication November 24, 2004.

* Address for reprints: Jae-Joong Kim, MD, PhD, Division of Cardiology, Department of Internal Medicine, University of Ulsan, College of Medicine, Asan Medical Center, 388-1, Pungnap-dong, Songpa-gu, Seoul, 138-736, Korea (Email: jjkim@amc.seoul.kr).

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

Cardiac tamponade is a potentially life-threatening condition that can cause death if not diagnosed and treated promptly. Here we describe a case of cardiac tamponade caused by penetration of the right ventricular free wall by migrated acupuncture needles. The needles were detected and successfully removed with intraoperative transesophageal echocardiographic assistance.

Clinical Summary

A 49-year-old woman was admitted to our hospital after having chest pain and was then hospitalized 2 hours later after syncope. She had a history of recurrent episodes of pulmonary thromboembolism that arose from deep vein thrombosis. A Bird’s Nest filter (Cook Co, Leechburg, Pa) was implanted in her inferior vena cava for the prevention of embolism about 6 years ago. Four weeks before admission, she felt bilateral shoulder pain and subsequently received acupuncture treatments to relieve the pain. She was treated with acupuncture on her shoulder and upper . . . [Full Text of this Article]




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