Author + information
- Received May 26, 2009
- Accepted June 3, 2009
- Published online May 4, 2010.
A 48-year-old woman with schizophrenia was referred to our department because of chest pain while driving, electrocardiographic changes, and increased cardiac troponin I. A routine chest X-ray showed 6 needles within the chest, 2 of them superimposed on the cardiac silhouette (A). Two-dimensional echocardiography showed normal regional and global left ventricular function and a strong echogenic linear structure in the mid-segment of the apical septum with a small left-to-right shunt (B, Online Videos 1and 2). Exact localization of the needles within the chest was obtained with reconstructed multidetector computed tomography, and 2 of them were intracardiac (C, arrows). Real-time 3-dimensional echocardiography showed 1 of the needles transfixing the interventricular septum and reaching the posterior wall of the left ventricle (D, Online Video 3).
- Received May 26, 2009.
- Accepted June 3, 2009.
- American College of Cardiology Foundation