An Unusual Case of Needle Embolus Presenting With Delayed Spontaneous Pneumothorax May Al-Sahaf, MB BCh, Leanne Harling, MRCS, PhD, Karen Harrison-Phipps,

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An Unusual Case of Needle Embolus Presenting With Delayed Spontaneous Pneumothorax May Al-Sahaf, MB BCh, Leanne Harling, MRCS, PhD, Karen Harrison-Phipps, BM, FRCS(CTh), Andrea Bille, MD, PhD The Annals of Thoracic Surgery Volume 102, Issue 3, Pages e201-e203 (September 2016) DOI: 10.1016/j.athoracsur.2016.01.083 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Computed tomographic view of the chest showing a foreign body (arrow) in the anterior chest wall adjacent to the right lung border. (a) Axial view with lung window showing right pneumothorax. (b) Axial view with foreign body. (c) Coronal view. (d) Sagittal view. The Annals of Thoracic Surgery 2016 102, e201-e203DOI: (10.1016/j.athoracsur.2016.01.083) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (a) Echocardiogram and (b) computed tomographic scan taken 1 year earlier showing the needle embedded in the right ventricular wall and a moderate pericardial effusion. The Annals of Thoracic Surgery 2016 102, e201-e203DOI: (10.1016/j.athoracsur.2016.01.083) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (a) Intraoperative view showing needle located in anterior mediastinum. (b) Needle once extracted. The Annals of Thoracic Surgery 2016 102, e201-e203DOI: (10.1016/j.athoracsur.2016.01.083) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions