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European Journal of Echocardiography Advance Access published online on May 2, 2008
European Journal of Echocardiography, doi:10.1016/j.euje.2007.03.035
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Use of transoesophageal echocardiography in management of penetrating cardiac injury

S. V. Parasramka*, S. Ghotkar, J. Kendall and B. M. Fabri

Cardiothoracic Centre, Thomas Drive, Liverpool L14 3PE, United Kingdom

Received 22 January 2007; accepted after revision 25 March 2007.

* Corresponding author. Tel: + 44 786 270 4150. E-mail address: saurabh_doc{at}yahoo.com


  Abstract

A 53-year-old man who sustained an accidental cardiac nail gun injury presented to us in haemodynamically stable condition. He had an urgent plain radiograph film and contrast CT scan to determine the exact position of the nail. CT showed the nail to be in juxtacardiac position but did not give any conclusive information about breach of pericardium or myocardial wall. An intra-operative transoesophageal echocardiography was done to determine the exact position of the nail. It clearly delineated the position of the nail and guided us towards median sternotomy and removal of nail under direct vision safely.

Keywords: Cardiac nail gun injury; Penetrating cardiac injury


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