Nail Gun Penetrating Injury of the Left Ventricle

(Department of Cardiovascular Surgery, Tsuchiya General Hospital, Hiroshima, Japan)

Shingo Mochizuki Shinichi Tsumaru Kazunori Yamada
Takaaki Mochizuki Toshihiko Ban
A 22-year-old man shot himself with a nail gun. He was admitted to a local hospital with chest pain. Chest x-ray film and chest computed tomography showed 5 nails penetrating the left thorax and some of these nails were considered to reach the pericardium. He was transferred to our hospital for intervention. Left thoracotomy was performed. Three nails reached the left ventricle and one nail was embedded the left lung. The last nail was found by transesophageal echocardiography to be completely buried in the left ventricle wall. All nails were removed and the left ventricular wounds were repaired with felt 4-0 surgipro mattress sutures. He made an uneventful postoperative recovery with a normal postoperative echocardiography and he was discharged on postoperative day 12 in good condition.
  Jpn. J. Cardiovasc. Surg. 41:276-279(2012)

Keywords:penetrating cardiac injury, nail gun, cardiac tamponade, left thoracotomy