@article{ref1,
title="Cardioembolic strokes resulting from a self-inflicted needle puncture involving both sides of the heart",
journal="Echocardiography",
year="2017",
author="Tan, Mark Zheng Yi and Brunswicker, Annemarie and Abdelraheem, Shamsaldeen and Sheehan, Alison",
volume="34",
number="4",
pages="614-616",
abstract="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.<br><br>© 2017, Wiley Periodicals, Inc.<p /> <p>Language: en</p>",
language="en",
issn="0742-2822",
doi="10.1111/echo.13493",
url="http://dx.doi.org/10.1111/echo.13493"
}