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Clinical Research in Cardiology

, Volume 107, Issue 1, pp 87–90 | Cite as

Bioresorbable vascular scaffold implantation to bail out nail gun injury in ST-segment myocardial infarction

  • Torsten Schütz
  • Friedrich P. Krönig
  • Christoph Karmeinsky
  • Oliver WeingärtnerEmail author
Letter to the Editors
  • 166 Downloads

Sirs:

Nail gunshot wounds are rare cases in emergency departments. However, when suspected, an appropriate diagnostic work-up is essential to assure best possible treatment options. Herein, we present the case of a 62-year-old male who was admitted to our emergency department for suspected STEMI of the posterior wall with consecutive syncope. During the diagnostic work-up an unexpected finding evolved the case to an unprecedented challenge.

In the night of Christmas Eve 2016, a 62-year-old drunk patient knocked at his neighbor’s door, claimed: “I have a nail in my heart” and fainted. The emergency physician arrived only minutes later, but was not able to take a comprehensive history of the patient and brought him to the emergency department of the Oldenburg University Clinic. The EKG on admission was significant for ST-elevations of the posterior wall (Fig. 1) and on physical examination only a minor wound in the anterior chest was visible (Fig. 2). A closer inspection of the wound by...

Notes

Compliance with ethical standards

Conflict of interest

The authors declare no competing financial interest.

Supplementary material

Video 1: coronary angiography revealing a nail compressing the proximal circumflex artery. (M4V 27730 KB)

Video 2: vascular scaffold implantation in the nail compressed proximal circumflex artery. (M4V 10749 KB)

392_2017_1160_MOESM3_ESM.mov (355 kb)
Video 3: coronary angiogram after vascular scaffold implantation and thrombotic reocclusion. (MOV 355 KB)
392_2017_1160_MOESM4_ESM.mov (375 kb)
Video 4: coronary angiogram after vascular scaffold implantation and abciximab i.c. application. (MOV 375 KB)
392_2017_1160_MOESM5_ESM.mov (797 kb)
Video 5: surgical removal of the nail during open heart surgery. (MOV 796 KB)
392_2017_1160_MOESM6_ESM.mov (338 kb)
Video 6: bleeding after surgical removal of the nail. (MOV 338 KB)

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Copyright information

© Springer-Verlag GmbH Germany 2017

Authors and Affiliations

  • Torsten Schütz
    • 1
  • Friedrich P. Krönig
    • 3
  • Christoph Karmeinsky
    • 2
  • Oliver Weingärtner
    • 1
    Email author
  1. 1.Klinik für Kardiologie, Klinikum OldenburgEuropean Medical School Oldenburg-GroningenOldenburgGermany
  2. 2.Universitätsklinik für Anästhesie, Intensiv-, Notfall- und Schmerzmedizin, Klinikum OldenburgEuropean Medical School Oldenburg-GroningenOldenburgGermany
  3. 3.Universitätsklinik für Herzchirurgie, Klinikum OldenburgEuropean Medical School Oldenburg-GroningenOldenburgGermany

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