Journal of cardiothoracic surgery · 2026
Totally endoscopic removal of a sewing needle penetrating the left ventricle without cardiopulmonary bypass.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Watabe Yoshinobu, Watanabe Shun, Suzuki Masato, Ito Toshiro
Аннотация
BACKGROUND: Intracardiac injuries caused by needles are rare and typically require removal via median sternotomy or limited thoracotomy. We present a case of successful removal using a totally endoscopic minimally invasive cardiac surgery (MICS) approach without cardiopulmonary bypass.
CASE PRESENTATION: A 57-year-old woman presented with chest discomfort one day after falling and striking her left chest. Chest computed tomography revealed a fractured sewing needle, with one fragment embedded in the left ventricular myocardium and the other in the subcutaneous tissue. The patient remained hemodynamically stable, and removal was performed using a totally endoscopic MICS approach was performed. The intracardiac fragment was removed endoscopically without bleeding. The subcutaneous portion was extracted via a small skin incision. The postoperative course was uneventful, and the patient was discharged on day 5.
CONCLUSION: Totally endoscopic MICS without cardiopulmonary bypass may be a safe and effective option for removing intracardiac foreign bodies in carefully selected patients.
CASE PRESENTATION: A 57-year-old woman presented with chest discomfort one day after falling and striking her left chest. Chest computed tomography revealed a fractured sewing needle, with one fragment embedded in the left ventricular myocardium and the other in the subcutaneous tissue. The patient remained hemodynamically stable, and removal was performed using a totally endoscopic MICS approach was performed. The intracardiac fragment was removed endoscopically without bleeding. The subcutaneous portion was extracted via a small skin incision. The postoperative course was uneventful, and the patient was discharged on day 5.
CONCLUSION: Totally endoscopic MICS without cardiopulmonary bypass may be a safe and effective option for removing intracardiac foreign bodies in carefully selected patients.