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Figure 1. A 32-year-old man who had attempted suicide with a nail gun directed at his heart just to the left of the sternum presented to the emergency room with cardiac tamponade. The chest x-ray film (Panel A) revealed a nail (arrow), apparently in the heart. A two-dimensional transesophageal echocardiogram in the transverse plane at the level of the aorta revealed that the nail (open arrow) was 1 cm distal to the aortic leaflets (Panel B). The nail penetrated the right ventricle (RV), just proximal to the pulmonic valve (PV), adhering the right ventricle to the aorta (AO). A . . . [Full Text of this Article] |
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