Penetration of the heart by needles and similar foreign bodies is extremely rare. In a review of the literature in 1899, Loison 1 observed that needles were found in the myocardium in twenty-three of 223 cases of wounds of the heart. In some of these cases the foreign body was well tolerated and did not cause any definite symptoms.
Meyer-Pantin 2 in 1920 collected from the literature reports of twelve cases in which a needle entering the heart was the cause of death. In three of these cases the needle was lodged in the wall of the right ventricle; in two cases, in the wall of the left ventricle; in one case, in the interventricular septum extending into the right ventricle; in another, in the wall of the right auricle; in one instance, in the lumen of the right auricle, entering from the right bronchus, and in still another, in
HINTON JW. INDIRECT INJURY TO THE HEART BY NEEDLES AND SIMILAR FOREIGN BODIES. JAMA. 1929;93(4):266–269. doi:10.1001/jama.1929.02710040018006
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