Successful removal of migrated acupuncture needles in a patient with cardiac tamponade by means of intraoperative transesophageal echocardiographic assistance

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Presentation transcript:

Successful removal of migrated acupuncture needles in a patient with cardiac tamponade by means of intraoperative transesophageal echocardiographic assistance Jae-Hyeong Park, MD, Hong Ju Shin, MD, Suk Jung Choo, MD, Jae Kwan Song, MD, Jae-Joong Kim, MD The Journal of Thoracic and Cardiovascular Surgery Volume 130, Issue 1, Pages 210-212 (July 2005) DOI: 10.1016/j.jtcvs.2004.11.046 Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Transthoracic 4-chamber view. A 5-cm, linear, needle-shaped mass is identified penetrating the ventricular septum and right ventricular wall (arrow) and surrounding large amount of pericardial effusion with tamponade features (arrowhead). B, The computed tomogram revealed needle-shaped masses in the interventricular septum and the distal part of the left bronchial artery. C, The needle was seen in the interventricular septum in the enhanced tomographic scan. PE, Pericardial effusion; RV, right ventricle; LV, left ventricle. The Journal of Thoracic and Cardiovascular Surgery 2005 130, 210-212DOI: (10.1016/j.jtcvs.2004.11.046) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Intraoperative transesophageal echocardiograms: modified transgastric view demonstrating another needle-shaped mass penetrating the interventricular septum after removal of a needle-shaped mass penetrating the right ventricular wall. B, Removed masses were proved to be acupuncture needles. RV, Right ventricle; LV, left ventricle. The Journal of Thoracic and Cardiovascular Surgery 2005 130, 210-212DOI: (10.1016/j.jtcvs.2004.11.046) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions