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Trans-sternal cardiac injury caused by a hooked needle
  1. H Yanar1,
  2. M Aksoy1,
  3. K Taviloglu1,
  4. E S Unal1,
  5. M Kurtoglu1,
  6. K Nisli2
  1. 1Department of General Surgery, Emergency Surgery Unit, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey
  2. 2Pediatric Cardiology Unit, Department of Pediatrics, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey
  1. Correspondence to:
 Dr H Yanar
 Trauma and Emergency Surgery Unit, Department of General Surgery, Istanbul Medical Faculty, University of Istanbul, Capa, Istanbul, 34390 Turkey; htyanar{at}


Cardiac injuries remain the most challenging of all injuries seen in the field of trauma surgery. Penetrating injury to the heart generally occurs less frequently than blunt injury and most commonly injures the large anterior right ventricle. We present an unusual, and to our knowledge a previously unreported, cause of cardiac penetrating trauma in a child, involving a hooked needle (a 15 cm long, metallic device usually used for crocheting or lacemaking). A ventricular septal defect was managed conservatively shortly after the primary cardiorrhaphy. Evaluation methods for this rare presentation and its possible surgical treatments are discussed.

  • cardiac injury
  • pediatric
  • trans-sternal
  • trauma

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  • Competing interests: none declared