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Case Report: Penetrating Cardiac Injury Secondary to a Terrorism-Related Nail Bomb Explosion

Published online by Cambridge University Press:  28 June 2012

Yasufumi Asai ,
Masashi Yoshida ,
Yoshihiko Kurimoto  and
Jeffrey L. Arnold
Yasufumi Asai*
Affiliation:
Chairman, Department of Traumatology and Critical Care Medicine, Sapporo Medical University, Sapporo, Japan
Masashi Yoshida
Affiliation:
Department of Traumatology and Critical Care Medicine, Sapporo Medical University, Sapporo, Japan
Yoshihiko Kurimoto
Affiliation:
Department of Traumatology and Critical Care Medicine, Sapporo Medical University, Sapporo, Japan
Jeffrey L. Arnold
Affiliation:
Office of Emergency Preparedness, Yale New Haven Center for Emergency and Terrorism Preparedness, Yale New Haven Health System, New Haven, Connecticut, USA
*
Department of Traumatology and Critical Care Medicine, Sapporo Medical University, E-mail: asai@sapmed.ac.jp
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Abstract

Penetrating cardiac injuries commonly occur secondary to gunshot or stab wounds. This is a report an unusual case of a patient who sustained a penetrating cardiac injury due to a nail from a terrorism-related, nail-bomb explosion. Associated problems included pericardial tamponade, penetrating cardiac injuries, acute, traumatic, myocardial infarction, and a penetrating lung injury. Prompt diagnosis and aggressive surgical intervention resulted in full recovery of the patient.

Keywords

bombing; cardiac injuryexplosionmyocardial infarctionnail bombpenetrating cardiac injuryperi-cardial tamponadeterrorism
Type
Case Report
Information
Prehospital and Disaster Medicine , Volume 18 , Issue 3: Terrorism-II: Special Reports , September 2003 , pp. 249 - 252
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2003

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