Penetrating Cardiac Injury in a Child Following Nail Gun Accident: Clinical Implications and Public Health Concerns
DOI:
https://doi.org/10.54133/ajms.v9i2.1107Keywords:
Cardiac injury, Children, Nail gun accidentAbstract
Penetrating cardiac injuries caused by nail guns are exceedingly rare but often life-threatening, with reports showing an increasing trend. We described the case of an adolescent male who sustained accidental cardiac penetration by an iron nail while performing carpentry work. Rapid referral to a specialized cardiac center enabled timely surgical intervention, illustrating the pivotal role of early recognition, expedited transfer, and expert management in optimizing outcomes. This case also highlights the grave risks associated with the employment of minors in hazardous occupational settings, where exposure to unsafe environments may lead to catastrophic consequences.
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Hussey K, Knox D, Lambah A, Curnier AP, Holmes JD, Davies M. Nail gun injuries to the hand. J Trauma. 2008;64(1):170-173. doi: 10.1097/TA.0b013e3180d09996. DOI: https://doi.org/10.1097/TA.0b013e3180d09996
Ho S, Liu B, Feranec N. Self-inflicted cardiac injury with nail gun without hemodynamic compromise: A case report. Cureus. 2017;9(1):e971. doi: 10.7759/cureus.971. DOI: https://doi.org/10.7759/cureus.971
Wang SH, Chen MY, Yan JL, Huang TY, Chang CC, Chien CY. Survival after multiple nail gun injuries to the brain, lung, and heart: a case report and a review of the literature. J Int Med Res. 2021;49(10):3000605211049923. doi: 10.1177/03000605211049923. DOI: https://doi.org/10.1177/03000605211049923
Eranki A, Wilson-Smith A, Villanueva C, Seah P. Penetrating cardiac trauma caused by a nail-gun: A case report and narrative review. Trauma Case Rep. 2022;39:100649. doi: 10.1016/j.tcr.2022.100649. DOI: https://doi.org/10.1016/j.tcr.2022.100649
Yaseen M, Akram N, Nori W. Intravascular foreign bodies retrieval: Navigating differences from childhood to adulthood. Scripta Medica. 2025;56(1):69–76. doi: 10.5937/scriptamed56-53482. DOI: https://doi.org/10.5937/scriptamed56-53482
Asai Y, Yoshida M, Kurimoto Y, Arnold JL. Case report: penetrating cardiac injury secondary to a terrorism-related nail bomb explosion. Prehosp Disaster Med. 2003;18(3):249-252. doi: 10.1017/s1049023x00001126. DOI: https://doi.org/10.1017/S1049023X00001126
Michalsen KL, Iguidbashian JP, Kyser JP, Long WB. Low-velocity nail-gun injuries to the interventricular septum: Report of two cases, one in a child. Tex Heart Inst J. 2015;42(4):393-396. doi: 10.14503/THIJ-13-4023. DOI: https://doi.org/10.14503/THIJ-13-4023
Daffar AA, Ibrahim ZA. Penetrating cardiac injury by a nail-gun: A case report. Thi-Qar Med J. 2022;23(1):60-68.
Jhunjhunwala R, Dente CJ, Keeling WB, Prest PJ, Dougherty SD, Gelbard RB, et al. Injury to the conduction system: management of life-threatening arrhythmias after penetrating cardiac trauma. Am J Surg. 2016;212(2):352-353. doi: 10.1016/j.amjsurg.2015.07.034. DOI: https://doi.org/10.1016/j.amjsurg.2015.07.034
Kulaylat AN, Chesnut CH, Patel S, Rocourt DV, Clark JB. Penetrating cardiac nail gun injury in a child. Pediatr Emerg Care. 2016;32(8):536-357. doi: 10.1097/PEC.0000000000000449. DOI: https://doi.org/10.1097/PEC.0000000000000449
Zhang W, Cao L, Hu S, Huang X, Yang Y. Nail gun penetrating cardiac injury in a young child. Lancet. 2014;384(9945):828. doi: 10.1016/S0140-6736(14)61370-2. DOI: https://doi.org/10.1016/S0140-6736(14)61370-2
Madani M, Drissi M, Ajaja MR, Rifai M, Moutaouakkil el M, Cheikhaoui Y, et al. Nail gun may cause heart injury: a young adult's misadventure. Int Emerg Nurs. 2012;20(2):98-101. doi: 10.1016/j.ienj.2011.06.006. DOI: https://doi.org/10.1016/j.ienj.2011.06.006
Wang MJ, Chen IS, Tsai SK. Nail gun penetrating injury of the left ventricle and descending aorta. Circulation. 1999;100(3):e18-19. doi: 10.1161/01.cir.100.3.e18. DOI: https://doi.org/10.1161/01.CIR.100.3.e18
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