Bioresorbable vascular scaffold implantation to bail out nail gun injury in ST-segment myocardial infarction
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Nail gunshot wounds are rare cases in emergency departments. However, when suspected, an appropriate diagnostic work-up is essential to assure best possible treatment options. Herein, we present the case of a 62-year-old male who was admitted to our emergency department for suspected STEMI of the posterior wall with consecutive syncope. During the diagnostic work-up an unexpected finding evolved the case to an unprecedented challenge.
In the night of Christmas Eve 2016, a 62-year-old drunk patient knocked at his neighbor’s door, claimed: “I have a nail in my heart” and fainted. The emergency physician arrived only minutes later, but was not able to take a comprehensive history of the patient and brought him to the emergency department of the Oldenburg University Clinic. The EKG on admission was significant for ST-elevations of the posterior wall (Fig. 1) and on physical examination only a minor wound in the anterior chest was visible (Fig. 2). A closer inspection of the wound by...
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Conflict of interest
The authors declare no competing financial interest.
Video 1: coronary angiography revealing a nail compressing the proximal circumflex artery. (M4V 27730 KB)
Video 2: vascular scaffold implantation in the nail compressed proximal circumflex artery. (M4V 10749 KB)
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