Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Year : 2017 | Month : March | Volume : 11 | Issue : 3 | Page : PE01 - PE04

Management of Accidental and Iatrogenic Foreign Body Injuries to Heart- Case Series

Rupesh Kumar, Sandeep Singh Rana, Sanjay Kumar, Deepanwita Das, Monalisa Datta

1. Assistant Professor, Advanced Cardiac Center, Cardiothoracic and Vascular Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India. 2. Professor, Department of Advanced Cardiac Center, Cardiothoracic and Vascular Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India. 3. Senior Resident, Department of Advanced Cardiac Center, Cardiothoracic and Vascular Anaesthesiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India. 4. Senior Resident, Department of Cardiothoracic and Vascular Anaesthesiology, Institute of Postgraduate Medical Education and Research, Kolkata, West Bengal, India. 5. Ex Senior Resident, Department of Cardiothoracic and Vascular Anaesthesiology, Institute of Postgraduate Medical Education and Research, Kolkata, West Bengal, India.

Correspondence Address :
Dr. Rupesh Kumar,
Assistant Professor, Department of Advanced Cardiac Center, Cardiothoracic and Vascular Surgery,
Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, India.
E-mail: rkctvs@gmail.com

Abstract

Accidental and iatrogenic foreign body injuries to heart require immediate attention and its timely management is cornerstone to the life of an individual. We describe in detail five cases of Accidental and iatrogenic foreign body injuries to heart encountered between January 2013 and July 2016. Our series included the following: needle stick injury to the right atrium (1 case) retained catheter fragments in the distal main pulmonary artery (1 case), right ventricle injury during catheterisation study (1 case), right ventricle injury during permanent pacemaker lead placement (1 case), device migration in atrial septal defect closure (1 case). Foreign bodies were removed from the cardiac cavities when the patient presented with features of infection (1 case), cardiac tamponade (2 case), anxiety (1 case), and haemodynamic instability (1 case). The management of accidental and iatrogenic foreign body injuries to heart requires immediate attention. Foreign bodies in the heart should be removed irrespective of their location and symptomatology. Asymptomatic foreign bodies diagnosed immediately after the injury with associated risk factors should be removed; asymptomatic foreign bodies without associated risks factors or diagnosed accidentally after the injury also need surgical intervention to allay fears of anxiety in patient and their relatives, to prevent any late complications and also for medico-legal purpose.

Keywords

Cardiac trauma, Cardiac catheterization, Iatrogenic injury

How to cite this article :

Rupesh Kumar, Sandeep Singh Rana, Sanjay Kumar, Deepanwita Das, Monalisa Datta. MANAGEMENT OF ACCIDENTAL AND IATROGENIC FOREIGN BODY INJURIES TO HEART- CASE SERIES. Journal of Clinical and Diagnostic Research [serial online] 2017 March [cited: 2017 Apr 25 ]; 11:PE01-PE04. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=March&volume=11&issue=3&page=PE01-PE04&id=9336

DOI and Others

DOI: 10.7860/JCDR/2017/23847.9336

Date of Submission: Aug 31, 2016
Date of Peer Review: Oct 13, 2016
Date of Acceptance: Dec 04, 2016
Date of Publishing: Mar 01, 2017

Financial OR OTHER COMPETING INTERESTS: None.

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