Authors
Dalinin V.V.1, 2, Travin N.O.1, Krayniukov P.E.1, 3, Borisov I.A.1, Salimov D.Sh.1, 3, Bryklya E.V.1, Nestyukova P.S.1
1 Central Military Clinical Hospital named after P.V. Mandryka, Moscow
2 North-Western State Medical University named after I.I. Mechnikov, St. Petersburg
3 Russian Peoples’ Friendship University, Moscow
Abstract
This article presents a clinical case of a mine blast shrapnel wound to the chest organs, including the heart, with the fragment lodged in the interventricular septum. The patient, in stable condition, underwent surgery three weeks after the injury. Intraoperatively, in addition to a metal fragment, a fragment of clothing was found in the heart. The foreign bodies were removed. The postoperative period and rehabilitation were uneventful.
Some historical and statistical information related to penetrating wounds of the heart, including those of non-metallic nature, is presented, and aspects of diagnosis and treatment tactics are highlighted.
Keywords: сombat trauma, heart wounds, metallic foreign bodies, neodymium magnet, textiloma, gossipiboma.
References
1. Shevchenko YuL. Heart wounds (on the 100-th anniversary of the first operation to suture a heart wound). St. Petersburg: Special Literature, 1996. 30 p. (In Russ.)
2. Dzhanelidze YuYu. Heart wounds and their surgical treatment. Leningrad: Publication of the Leningrad Medical Journal, 1927. 336 p. (In Russ.)
3. Benedetto U, Caputo M, Kosti A, et al. Cupid’s arrow retained in the heart. J Thorac Dis, 2019; 1(11): E1-E3. doi: 10.21037/jtd.2018.12.12.
4. Symbas PN, Picone AL, Hatcher CR, et al. Cardiac missiles. A review of the literature and personal experience. Ann Surg, 1990; 211: 639-47.
5. Actis Dato GM, Arslanian A, Marzio PD, Filosso PL, Ruffini E. Posttraumatic and iatrogenic foreign bodies in the heart: report of fourteen cases and review of the literature. J Thorac Cardiovasc Surg, 2003; 126: 408-14. doi: 10.1016/S0022-5223(03)00399-4.
6. Madani M, Drissi M, Ajaja MR, et al. Nail gun may cause heart injury: A young adult’s misadventure. Intern Emerg Nurs, 2012; 2(20): 98-101. doi: 10.1016/j.ienj.2011.06.006.
7. Soren S, Surjit, Chaudhury S, et al. Multiple self-inserted pins and nails in pericardium in a patient of schizophrenia: case report and review. Ind Psychiatry J, 2015; 24: 82-7. doi: 10.4103/0972-6748.160959.
8. Supomo; Darmawan H. An Unusual Foreign Body in the Heart: A Case Report. Ann Thorac Cardiovasc Surg, 2018; 4(24): 205-207. doi: 10.5761/atcs.cr.17-00117.
9. Hsia RY, Mahadevan SV, Brundage SI. Penetrating Cardiac Injury from a Wooden Knitting Needle. J Emerg Med, 2012; 1(43): 116-9. doi: 10.1016/j.jemermed.2010.06.027.
10. Li Y, Jingfeng W, Wei W. Echocardiographic detection of intracardiac non-metallic foreign body complicated by infective endocarditis, European Heart Journal, 2007; 1(28): 58. doi: 10.1093/eurheartj/ehl168.
11. Yang X, Shen X. A piece of glass in the heart. Ann Thorac Surg, 2006; 81(1): 335-6. doi: 10.1016/j.athoracsur.2004.10.007.
12. Papadopoulos G, Kouerinis IA, Giannakopoulou A, et al. Tropical plant needle causing recurrent cardiac tamponade in a pediatric patient. The Journal of Trauma: Injury, Infection, and Critical Care. 2010; 4(69): E35. doi: 10.1097/ TA.0b013e3181825beb.
13. Bariş VÖ, Özcan ÖU, Akbulut IM, et al. An unusual cause of heart failure: Cardiac textiloma. Turk Kardiyoloji Dernegi Arsivi, 2014; 7(42): 686. doi: 10.5543/tkda.2014.29165.
14. Bois MC, Bois JP, Mankad SV, et al. Retained surgical sponge. Cardiovascular Pathology, 2017; 27: 43-4. doi: 10.1016/j.carpath. 2017.01.002.
15. Tavoosi A, Salehi M, Sardari A, et al. What thought to be a cardiac tumor turns out to be a remnant of former surgery. ARYA Atherosclerosis, 2020; 5(16): 1-3. doi: 10.22122/arya.v16i5.1965.
16. Mollberg NM, Nathan M, Wise SR. Chest computed tomography for penetrating thoracic trauma after normal screening chest roentgenogram. Ann Thorac Surg, 2012; 6(93): 1830-5. doi: 10.1016/j.athoracsur.2012.02.095.
17. Gunn ML Current concepts in imaging evaluation of penetrating transmediastinal injury. Radiographics, 2014; 7(34): 1824-41. doi: 10.1148/rg.347130022.
18. Plurad DS, Bricker S, Van Natta TL, et al. Penetrating cardiac injury and the significance of chest computed tomography findings. Emerg Radiol, 2013; 4(20): 279-84. doi: 10.1007/ s10140-013-1113-0.
19. Dalinin VV, Kraynyukov PE, Travin NO, et al. Features of injury and extraction of a metallic fragment from the interventricular septum. Bulletin of the National Medical and Surgical Center named after N.I. Pirogov, 2026; 1(21): 151-4. (In Russ.) doi: 10.25881/20728255_2026_21_1_151.
20. Shevchenko YUL. Khirurgicheskoye lecheniye infektsionnogo endokardita i osnovy gnoyno-septicheskoy kardiokhirurgii. M.: Dinastiya, 2020. 448 s. (In Russ.)
