A girl with 'six needles' in the heart.
A girl with 'six needles' in the heart.
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DOI：
10.1016/j.ijcard.2016.02.045
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发表时间：
2016-04
影响因子：
3.5
通讯作者：
Lisheng Lin;Fumiya Yoneyama;M. Takahashi-Igari;T. Ohto;H. Sakamoto
中科院分区：
文献类型：
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作者：
Lisheng Lin;Fumiya Yoneyama;M. Takahashi-Igari;T. Ohto;H. Sakamoto
一个14岁的女孩因为发烧和意识障碍被转到急诊室。1个月大时，她被诊断为结节性硬化症（TSC），此后因轻度智力迟钝和癫痫定期到医院就诊。两年前，她接受了外伤性心脏填塞手术。入院时，我们怀疑脓毒症，因此进行了影像学检查。胸部x线片显示胸部有1个以上“针状”异物，腹部有1个（图1，面板A）。经胸超声心动图和计算机断层扫描显示，异物穿透右心室前壁和室间隔，到达左心室后壁（图1，b-d面板）。在体外循环下进行了紧急心内直视手术。从右心室前壁和流出道、室间隔和左心室壁共取出6根缝针。有些针叶已经生锈，并且附着了植被（图1，面板e）。我们也做了二尖瓣手术
A 14-year-old girl was transferred to the ER because of fever and disturbance of consciousness. At 1 month of age, she had been diagnosed as having tuberous sclerosis complex (TSC) and had thereafter visited the hospital regularly because of mild mental retardation and epilepsy. Two years previously, she had undergone surgery for traumatic cardiac tamponade. At admission, we suspected sepsis and therefore performed imaging tests. A chest X-ray revealed more than 1 ‘needle-like’foreign body in the chest and another in the abdomen (Fig. 1, Panel a). Transthoracic echocardiography and computed tomography showed that the foreign bodies penetrated the anterior wall of the right ventricle and ventricular septum and reached the posterior wall of the left ventricle (Fig. 1, Panel b–d).Emergency open-heart surgery under cardiopulmonary bypass was performed. In total, 6 sewing needles were removed from the anterior wall and outflow tract of the right ventricle, the ventricular septum, and the left ventricular wall. Some of the needles were rusty and with vegetation attached (Fig. 1, Panel e). We also performed a mitral valve