Cardioembolic strokes resulting from a self‐inflicted needle puncture involving both sides of the heart

Foreign bodies in the heart are rare occurrences with a limited evidence base to guide recommendations on management. We report a case of multiple cardioembolic strokes as a result of a self‐inflicted sewing needle puncture from the anterior chest through the right ventricle and interventricular sep...

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Bibliographic Details
Published in:Echocardiography (Mount Kisco, N.Y.) N.Y.), 2017-04, Vol.34 (4), p.614-616
Main Authors: Tan, Mark Zheng Yi, Brunswicker, Annemarie, Abdelraheem, Shamsaldeen, Sheehan, Alison
Format: Article
Language:English
Subjects:
Adult
cardioembolic
Echocardiography
Embolism, Air - complications
Embolism, Air - diagnostic imaging
Fatal Outcome
Female
Foreign Bodies - complications
foreign body
Heart Ventricles - diagnostic imaging
Heart Ventricles - injuries
Humans
Mental Disorders - complications
Needles
psychiatry
Punctures
Self-Injurious Behavior - complications
self‐harm
Stroke
Tomography, X-Ray Computed
transthoracic
Ventricular Septum - diagnostic imaging
Ventricular Septum - injuries
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Summary:Foreign bodies in the heart are rare occurrences with a limited evidence base to guide recommendations on management. We report a case of multiple cardioembolic strokes as a result of a self‐inflicted sewing needle puncture from the anterior chest through the right ventricle and interventricular septum with its tip in the left ventricle close to the subvalvular apparatus in a 39‐year‐old psychiatric patient. We discuss issues surrounding decision making and ongoing care and highlight the importance of further follow‐up and reporting of cases to form a robust evidence base to guide future recommendations.
ISSN:0742-2822
1540-8175
DOI:10.1111/echo.13493