Hostname: page-component-745bb68f8f-b95js Total loading time: 0 Render date: 2025-02-06T06:32:28.477Z Has data issue: false hasContentIssue false
  • English
  • Français

Case Report: Penetrating Cardiac Injury Secondary to a Terrorism-Related Nail Bomb Explosion

Published online by Cambridge University Press:  28 June 2012

Yasufumi Asai ,
Masashi Yoshida ,
Yoshihiko Kurimoto  and
Jeffrey L. Arnold
Yasufumi Asai*
Affiliation:
Chairman, Department of Traumatology and Critical Care Medicine, Sapporo Medical University, Sapporo, Japan
Masashi Yoshida
Affiliation:
Department of Traumatology and Critical Care Medicine, Sapporo Medical University, Sapporo, Japan
Yoshihiko Kurimoto
Affiliation:
Department of Traumatology and Critical Care Medicine, Sapporo Medical University, Sapporo, Japan
Jeffrey L. Arnold
Affiliation:
Office of Emergency Preparedness, Yale New Haven Center for Emergency and Terrorism Preparedness, Yale New Haven Health System, New Haven, Connecticut, USA
*
Department of Traumatology and Critical Care Medicine, Sapporo Medical University, E-mail: asai@sapmed.ac.jp
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Penetrating cardiac injuries commonly occur secondary to gunshot or stab wounds. This is a report an unusual case of a patient who sustained a penetrating cardiac injury due to a nail from a terrorism-related, nail-bomb explosion. Associated problems included pericardial tamponade, penetrating cardiac injuries, acute, traumatic, myocardial infarction, and a penetrating lung injury. Prompt diagnosis and aggressive surgical intervention resulted in full recovery of the patient.

Keywords

bombing; cardiac injuryexplosionmyocardial infarctionnail bombpenetrating cardiac injuryperi-cardial tamponadeterrorism
Type
Case Report
Information
Prehospital and Disaster Medicine , Volume 18 , Issue 3: Terrorism-II: Special Reports , September 2003 , pp. 249 - 252
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2003

References

1.McKain, JM, Warner, GW, Shaub, RO: A rocket injury of the heart. Case report. American Surgeon 1964; 33(9): 742–744.Google Scholar
2.Catipovi-Veselica, K: Penetrating heart wounds repaired without cardiopul-monary bypass. Evaluation and follow-up of recent war injuries. Te x Heart Inst J 1993; 20(2): 94–98.Google Scholar
3.Brown, MG, Marshall: The Enniskillen bomb: A disaster plan. BMJ 1988; 297: 1113–1116.CrossRefGoogle ScholarPubMed
4.Feliciano, DV, Anderson, GV, Rozycki, GS, et al: Management of casualties from the bombing at the Centennial Olympics. Am J Surg 1998; 176: 538–543.CrossRefGoogle ScholarPubMed
5. Anonymous. Yasakoi Soran Festival. Yume Gallery Web site. Available at http://www.ne.jp/asahi/yume/dreams/main/English_hokkaido_yosakoi.htm. Accessed 06August 2003.Google Scholar
6. Anonymous: Yasakoi Soran Festival. Available at Hokkaido Government Web site. Available at http://www.pref.hokkaido.jp/kseikatu/ks-bsbsk/digest/chapter_9_2.html. Accessed 06 August 2003.Google Scholar
7.Brismar, B, Bergenwald, L: The terrorist bomb explosion in Bologna, Italy, 1980: An analysis of the effects and injuries sustained. J Trauma 1982; 22: 216–220.CrossRefGoogle ScholarPubMed
8.Johnstone, DJ, Evans, SC, Field, RE, Booth, SJ: The Victoria bomb: A report from the Westminster Hospital. Injury 1993; 24: 5–9.CrossRefGoogle ScholarPubMed
9.Cudennec, YF, Buffe, P, Poncet, JL: Otologic features and teachings of a bombing attempt. Mil Med 1995; 160(9): 467–470.CrossRefGoogle ScholarPubMed
10.Henderson, JV: Anatomy of a terrorist attack: The Cu Chi mess hall incident. Prehosp Disast Med 1986; 2: 69–73.CrossRefGoogle Scholar
11.Leibovici, D, Gofrit, ON, Stein, M, et al: Blast injuries — Bus versus open-air bombings: A comparative study of injuries in survivors of open-air versus confined-space explosions. J Trauma 1996; 41: 1030–1035.CrossRefGoogle ScholarPubMed
12.Williams, KN, Squires, SL: Experience of a major incident alert at two hospitals: “The Soho Bomb”. Br J Anaesth 2000; 85: 322–324.CrossRefGoogle Scholar
13.Ellis, H: Management of nail-bomb injuries. J R Soc Med 1983; 76: 724–725.CrossRefGoogle ScholarPubMed
14.Vosswinkel, J, Bilfinger, T: Cardiac nail gun injuries: Lessons learned. J Trauma 1999; 47: 588–590.CrossRefGoogle ScholarPubMed
15.Alberico, G, Bucci, I, Ciarelli, F, et al: An unusual case of nail gun injury: Penetrating neck wound with nail retention in the right pleural cavity. J Trauma 1997; 43: 153–156.CrossRefGoogle ScholarPubMed
16.Knott-Craig, CJ, Przybojewski, JZ, Barnard, PM: Penetrating wounds of the heart and great vessels—A new therapeutic approach. South Afr Med J 1982; 62: 316–320.Google ScholarPubMed
17.Moreno, C, Moore, EE, Majune, JA, et al: Pericardial tamponade. A critical determinant for survival following penetrating cardiac wounds. J Trauma 1986; 26: 821–825.CrossRefGoogle ScholarPubMed
18.Ivatury, RR, Rohman, M, Steichen, FM, et al: Penetrating cardiac injuries: Twenty years experience. Am Surg 1987; 53: 310–317.Google Scholar
19.Arnold, JL, Tsai, MC, Halpern, P, et al: Mass casualty terrorist bombings: Epidemiological outcomes, resource utilization, and time course of emergency needs (Part I). Prehosp Disast Med 2003; 18(3): 220–234.CrossRefGoogle ScholarPubMed
20.Halpern, P, Tsai, MC, Arnold, JL, et al: Mass casualty terrorist bombings: Implications for emergency department and hospital emergency response (Part II). Prehosp Disast Med 2003; 18(3): 235–241.CrossRefGoogle ScholarPubMed