@article{ref1,
title="Penetrating cardiac trauma caused by a nail-gun: a case report and narrative review",
journal="Trauma case reports",
year="2022",
author="Eranki, A. and Wilson-Smith, A. and Villanueva, C. and Seah, P.",
volume="39",
number="",
pages="e100649-e100649",
abstract="INTRODUCTION: Penetrating cardiac injuries are emergencies that require prompt surgical management. Most of these injuries are caused by gunshots or stab wounds however the incidence of nail-gun injuries is rising due to their availability and widespread use. Cardiac injuries caused by nail-guns are often self-inflicted. These injuries almost always require operative management with a sternotomy or thoracotomy.   CASE REPORT: This case report describes a 47-year-old male with two self-inflicted nail-gun wounds to the chest. He presented in a stable condition and subsequently underwent an emergency sternotomy to repair a penetrating cardiac injury. We highlight our diagnostic and operative approach to this injury and present a contemporary narrative review of similar cases. <br><br>CONCLUSION: Almost all cases of penetrating trauma caused by nail-gun injuries require urgent surgery. Some cases require the use of cardiopulmonary bypass. In this case, the use of the Medtronic® urchin apical suction device, usually reserved for off pump cardiac surgery, facilitated exposure and repair of the lateral wall of the left ventricle.<p /> <p>Language: en</p>",
language="en",
issn="2352-6440",
doi="10.1016/j.tcr.2022.100649",
url="http://dx.doi.org/10.1016/j.tcr.2022.100649"
}