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Cardioembolic strokes resulting from a self‐inflicted needle puncture involving both sides of the heart
Author(s) -
Tan Mark Zheng Yi,
Brunswicker Annemarie,
Abdelraheem Shamsaldeen,
Sheehan Alison
Publication year - 2017
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.13493
Subject(s) - ventricle , interventricular septum , medicine , cardiology , medical emergency
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.