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Figure 1. The foreign body (arrow 1) in antero-posterior chest X-ray (A), computed tomography scan (B), and echocardiography: two-dimensional (C, 4-chamber apical view), and 4-dimensional (D, arrow 2 — anterior mitral leaflet, arrow 3 — mitral orifice); LA — left atrium; LV — left ventricle; RA — right atrium; RV — right ventricle. A 60-year-old male serving a long-term prison sentence, heavy drinker and smoker was admitted after an episode of chest pain preceding syncope. Initial electrocardiogram was inconclusive. Physical examination and laboratory findings were within normal limits. On admission chest X-ray revealed a linear metallic foreign body in the left ventricular plane (Fig. 1A). Patient reported that he self-harmed in order to get out of prison about 30 years ago. He used a safety pin, unhinged into a straight metal piece to stab into the right lung. For this purpose he held the point of the pin at a right angle at the level of the intercostal space and hit the other end with the bottom of a metal CLINICAL CARDIOLOGY

Safety pin in human heart: An unusual distraction